Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.61 / $7,920.26 / $13,746.00	Facility		$1,645.61	$7,920.26	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,553.43 / $1,819.57 / $2,182.96	Professional		$1,553.43	$1,819.57	$2,182.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,161.14 / $1,510.94 / $1,984.75	Facility		$1,161.14	$1,510.94	$1,984.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,139.54 / $1,543.46 / $1,683.71	Facility		$1,139.54	$1,543.46	$1,683.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,161.14 / $1,642.99 / $5,949.00	Facility		$1,161.14	$1,642.99	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $268.22 / $268.22 / $268.22	Facility	AS	$268.22	$268.22	$268.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00