Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $20,400.00	Facility		$1,924.00	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,935.69 / $2,267.31 / $2,720.13	Professional		$1,935.69	$2,267.31	$2,720.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.35 / $2,008.18 / $2,626.12	Facility		$1,382.35	$2,008.18	$2,626.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,443.81 / $1,976.50 / $2,099.78	Facility		$1,443.81	$1,976.50	$2,099.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,404.97 / $2,106.30 / $3,610.89	Facility		$1,404.97	$2,106.30	$3,610.89
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $336.47 / $336.47 / $336.47	Facility	AS	$336.47	$336.47	$336.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00