Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.50 / $2,747.00 / $13,746.00	Facility		$1,134.50	$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 $1,078.67 / $1,263.47 / $1,515.80	Professional		$1,078.67	$1,263.47	$1,515.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.10 / $1,134.10 / $1,547.60	Facility		$803.10	$1,134.10	$1,547.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $781.98 / $1,068.65 / $1,160.44	Facility		$781.98	$1,068.65	$1,160.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.10 / $1,204.74 / $5,949.00	Facility		$803.10	$1,204.74	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $184.45 / $184.45 / $184.45	Facility	AS	$184.45	$184.45	$184.45
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