Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $27,021.01	Facility		$1,924.00	$7,920.26	$27,021.01
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 $2,019.82 / $2,365.87 / $2,838.36	Professional		$2,019.82	$2,365.87	$2,838.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,431.37 / $1,966.02 / $2,619.69	Facility		$1,431.37	$1,966.02	$2,619.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,499.53 / $2,061.59 / $2,193.58	Facility		$1,499.53	$2,061.59	$2,193.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,437.72 / $2,154.17 / $3,772.19	Facility		$1,437.72	$2,154.17	$3,772.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $350.12 / $350.12 / $350.12	Facility	AS	$350.12	$350.12	$350.12
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00