Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,361.44 / $5,116.62 / $16,199.68	Facility		$1,361.44	$5,116.62	$16,199.68
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 $1,285.07 / $1,505.24 / $1,805.86	Professional		$1,285.07	$1,505.24	$1,805.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $1,249.92 / $1,652.40	Facility		$945.00	$1,249.92	$1,652.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $946.71 / $1,299.13 / $1,386.90	Facility		$946.71	$1,299.13	$1,386.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.71 / $1,363.64 / $3,865.00	Facility		$956.71	$1,363.64	$3,865.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $221.69 / $221.69 / $221.69	Facility	AS	$221.69	$221.69	$221.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00