Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $13,746.00	Facility		$1,924.00	$2,747.00	$13,746.00
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 $2,013.34 / $2,359.53 / $2,829.25	Professional		$2,013.34	$2,359.53	$2,829.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,450.81 / $1,971.33 / $2,630.75	Facility		$1,450.81	$1,971.33	$2,630.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,508.25 / $2,075.66 / $2,199.61	Facility		$1,508.25	$2,075.66	$2,199.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,170.91 / $3,782.56	Facility		$1,500.00	$2,170.91	$3,782.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $352.20 / $352.20 / $352.20	Facility	AS	$352.20	$352.20	$352.20
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