Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.67 / $7,920.26 / $18,575.41	Facility		$1,661.67	$7,920.26	$18,575.41
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 $1,572.11 / $1,841.45 / $2,209.21	Professional		$1,572.11	$1,841.45	$2,209.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,113.91 / $1,528.92 / $2,033.20	Facility		$1,113.91	$1,528.92	$2,033.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,162.80 / $1,573.97 / $1,699.79	Facility		$1,162.80	$1,573.97	$1,699.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,113.98 / $1,670.49 / $2,923.04	Facility		$1,113.98	$1,670.49	$2,923.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $270.62 / $270.62 / $270.62	Facility	AS	$270.62	$270.62	$270.62
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 / $20,708.00 / $25,733.64	Facility		$3,028.00	$20,708.00	$25,733.64