Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,503.37 / $6,546.49 / $20,400.00	Facility		$1,503.37	$6,546.49	$20,400.00
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 $1,286.28 / $1,506.65 / $1,807.54	Professional		$1,286.28	$1,506.65	$1,807.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.63 / $1,346.39 / $1,842.87	Facility		$954.63	$1,346.39	$1,842.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $946.19 / $1,293.77 / $1,380.87	Facility		$946.19	$1,293.77	$1,380.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.63 / $1,450.60 / $2,748.00	Facility		$954.63	$1,450.60	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $219.51 / $219.51 / $219.51	Facility	AS	$219.51	$219.51	$219.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
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