Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,074.00 / $13,320.00	Facility		$1,758.00	$7,074.00	$13,320.00
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 $1,879.98 / $2,202.07 / $2,641.85	Professional		$1,879.98	$2,202.07	$2,641.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,270.51 / $1,822.18 / $2,404.65	Facility		$1,270.51	$1,822.18	$2,404.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,312.16 / $1,873.32 / $2,018.71	Facility		$1,312.16	$1,873.32	$2,018.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,321.31 / $1,988.92 / $5,217.00	Facility		$1,321.31	$1,988.92	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $319.00 / $319.00 / $319.00	Facility	AS	$319.00	$319.00	$319.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00