Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,848.63 / $7,920.26 / $20,400.00	Facility		$1,848.63	$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 $1,736.08 / $2,033.51 / $2,439.63	Professional		$1,736.08	$2,033.51	$2,439.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.99 / $1,683.36 / $2,258.44	Facility		$1,126.99	$1,683.36	$2,258.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,294.58 / $1,778.18 / $1,885.38	Facility		$1,294.58	$1,778.18	$1,885.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.86 / $1,823.08 / $3,397.00	Facility		$1,202.86	$1,823.08	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $301.20 / $301.20 / $301.20	Facility	AS	$301.20	$301.20	$301.20
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 / $20,708.00 / $48,325.07	Facility		$3,028.00	$20,708.00	$48,325.07