Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.05 / $5,116.62 / $20,400.00	Facility		$1,463.05	$5,116.62	$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 $1,252.47 / $1,467.04 / $1,760.03	Professional		$1,252.47	$1,467.04	$1,760.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $868.25 / $1,204.56 / $1,588.65	Facility		$868.25	$1,204.56	$1,588.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $906.98 / $1,237.39 / $1,345.36	Facility		$906.98	$1,237.39	$1,345.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.38 / $1,305.99 / $5,949.00	Facility		$906.38	$1,305.99	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $214.16 / $214.16 / $214.16	Facility	AS	$214.16	$214.16	$214.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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