Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.23 / $2,747.00 / $13,746.00	Facility		$1,379.23	$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 $1,179.27 / $1,381.30 / $1,657.17	Professional		$1,179.27	$1,381.30	$1,657.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $877.11 / $1,156.36 / $1,501.95	Facility		$877.11	$1,156.36	$1,501.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $858.05 / $1,170.49 / $1,268.31	Facility		$858.05	$1,170.49	$1,268.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $877.11 / $1,248.67 / $5,949.00	Facility		$877.11	$1,248.67	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $201.27 / $201.27 / $201.27	Facility	AS	$201.27	$201.27	$201.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00