Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,880.16 / $7,920.26 / $21,735.00	Facility		$2,880.16	$7,920.26	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,672.08 / $3,139.39 / $3,754.95	Professional		$2,672.08	$3,139.39	$3,754.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,914.46 / $2,655.12 / $3,565.62	Facility		$1,914.46	$2,655.12	$3,565.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,032.96 / $2,793.23 / $2,921.87	Facility		$2,032.96	$2,793.23	$2,921.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,919.88 / $2,889.93 / $5,359.00	Facility		$1,919.88	$2,889.93	$5,359.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $467.63 / $467.63 / $467.63	Facility	AS	$467.63	$467.63	$467.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,460.00 / $69,069.14	Facility		$3,340.00	$26,460.00	$69,069.14