Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.68 / $7,920.26 / $20,400.00	Facility		$1,564.68	$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 $1,701.92 / $1,993.50 / $2,391.62	Professional		$1,701.92	$1,993.50	$2,391.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.99 / $1,654.78 / $2,190.44	Facility		$1,178.99	$1,654.78	$2,190.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,253.89 / $1,715.16 / $1,841.16	Facility		$1,253.89	$1,715.16	$1,841.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,197.79 / $1,796.70 / $3,166.15	Facility		$1,197.79	$1,796.70	$3,166.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $293.55 / $293.55 / $293.55	Facility	AS	$293.55	$293.55	$293.55
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