Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.44 / $7,920.26 / $13,320.00	Facility		$1,247.44	$7,920.26	$13,320.00
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 $1,192.25 / $1,396.65 / $1,675.58	Professional		$1,192.25	$1,396.65	$1,675.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $839.68 / $1,155.06 / $1,517.25	Facility		$839.68	$1,155.06	$1,517.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.80 / $1,185.90 / $1,281.04	Facility		$865.80	$1,185.90	$1,281.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $867.23 / $1,251.07 / $2,748.00	Facility		$867.23	$1,251.07	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $203.35 / $203.35 / $203.35	Facility	AS	$203.35	$203.35	$203.35
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