Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,896.93 / $7,920.26 / $20,400.00	Facility		$1,896.93	$7,920.26	$20,400.00
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 $1,602.93 / $1,877.54 / $2,252.52	Professional		$1,602.93	$1,877.54	$2,252.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.59 / $1,562.40 / $2,089.30	Facility		$1,155.59	$1,562.40	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,197.20 / $1,644.85 / $1,744.01	Facility		$1,197.20	$1,644.85	$1,744.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,206.24 / $1,718.73 / $3,397.00	Facility		$1,206.24	$1,718.73	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $279.02 / $279.02 / $279.02	Facility	AS	$279.02	$279.02	$279.02
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