Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.97 / $5,116.62 / $20,400.00	Facility		$1,720.97	$5,116.62	$20,400.00
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 $1,964.86 / $2,301.73 / $2,761.12	Professional		$1,964.86	$2,301.73	$2,761.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,349.85 / $1,917.04 / $2,566.15	Facility		$1,349.85	$1,917.04	$2,566.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,474.33 / $2,024.74 / $2,137.96	Facility		$1,474.33	$2,024.74	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,403.65 / $2,109.03 / $3,676.55	Facility		$1,403.65	$2,109.03	$3,676.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $341.82 / $341.82 / $341.82	Facility	AS	$341.82	$341.82	$341.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00