Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.25 / $7,920.26 / $20,400.00	Facility		$1,873.25	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,590.12 / $1,862.55 / $2,234.52	Professional		$1,590.12	$1,862.55	$2,234.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,188.28 / $1,547.52 / $2,045.10	Facility		$1,188.28	$1,547.52	$2,045.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,170.55 / $1,608.00 / $1,719.89	Facility		$1,170.55	$1,608.00	$1,719.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,188.28 / $1,696.20 / $3,865.00	Facility		$1,188.28	$1,696.20	$3,865.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $274.11 / $274.11 / $274.11	Facility	AS	$274.11	$274.11	$274.11
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00