Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$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 $1,505.84 / $1,763.82 / $2,116.08	Professional		$1,505.84	$1,763.82	$2,116.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.97 / $1,562.24 / $2,142.23	Facility		$1,096.97	$1,562.24	$2,142.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,117.26 / $1,528.94 / $1,631.45	Facility		$1,117.26	$1,528.94	$1,631.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $1,673.16 / $2,805.53	Facility		$1,125.00	$1,673.16	$2,805.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $260.57 / $260.57 / $260.57	Facility	AS	$260.57	$260.57	$260.57
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