Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.02 / $5,116.62 / $20,400.00	Facility		$1,490.02	$5,116.62	$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 $1,272.51 / $1,490.52 / $1,788.20	Professional		$1,272.51	$1,490.52	$1,788.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $898.44 / $1,234.42 / $1,627.75	Facility		$898.44	$1,234.42	$1,627.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $929.27 / $1,275.01 / $1,372.83	Facility		$929.27	$1,275.01	$1,372.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,338.50 / $2,748.00	Facility		$900.00	$1,338.50	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $217.87 / $217.87 / $217.87	Facility	AS	$217.87	$217.87	$217.87
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00