Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.95 / $7,920.26 / $20,400.00	Facility		$1,432.95	$7,920.26	$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 $1,220.33 / $1,429.41 / $1,714.88	Professional		$1,220.33	$1,429.41	$1,714.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $865.27 / $1,184.82 / $1,564.00	Facility		$865.27	$1,184.82	$1,564.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $893.42 / $1,222.08 / $1,316.55	Facility		$893.42	$1,222.08	$1,316.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $904.94 / $1,295.84 / $5,217.00	Facility		$904.94	$1,295.84	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $209.02 / $209.02 / $209.02	Facility	AS	$209.02	$209.02	$209.02
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