Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.56 / $13,570.00 / $22,193.56	Facility		$1,836.56	$13,570.00	$22,193.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,566.29 / $1,834.63 / $2,201.03	Professional		$1,566.29	$1,834.63	$2,201.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.19 / $1,573.01 / $2,256.61	Facility		$1,165.19	$1,573.01	$2,256.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,145.83 / $1,569.81 / $1,690.41	Facility		$1,145.83	$1,569.81	$1,690.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,165.19 / $1,677.13 / $7,090.00	Facility		$1,165.19	$1,677.13	$7,090.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $268.64 / $268.64 / $268.64	Facility	AS	$268.64	$268.64	$268.64
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