Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.36 / $7,920.26 / $20,400.00	Facility		$1,625.36	$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 $1,381.74 / $1,618.46 / $1,941.69	Professional		$1,381.74	$1,618.46	$1,941.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $983.16 / $1,342.30 / $1,783.30	Facility		$983.16	$1,342.30	$1,783.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,019.87 / $1,397.62 / $1,493.43	Facility		$1,019.87	$1,397.62	$1,493.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,024.53 / $1,467.02 / $3,397.00	Facility		$1,024.53	$1,467.02	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $237.96 / $237.96 / $237.96	Facility	AS	$237.96	$237.96	$237.96
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