Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.89 / $7,920.26 / $30,593.00	Facility		$1,537.89	$7,920.26	$30,593.00
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 $1,447.82 / $1,695.87 / $2,034.56	Professional		$1,447.82	$1,695.87	$2,034.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,030.83 / $1,502.06 / $2,041.80	Facility		$1,030.83	$1,502.06	$2,041.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.23 / $1,461.94 / $1,565.12	Facility		$1,071.23	$1,461.94	$1,565.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,049.13 / $1,601.62 / $2,748.00	Facility		$1,049.13	$1,601.62	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $249.65 / $249.65 / $249.65	Facility	AS	$249.65	$249.65	$249.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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