Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.73 / $7,074.00 / $16,197.76	Facility		$1,252.73	$7,074.00	$16,197.76
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 $1,363.41 / $1,596.99 / $1,915.94	Professional		$1,363.41	$1,596.99	$1,915.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $945.79 / $1,324.32 / $1,753.55	Facility		$945.79	$1,324.32	$1,753.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,001.95 / $1,370.82 / $1,467.97	Facility		$1,001.95	$1,370.82	$1,467.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.77 / $1,443.63 / $5,217.00	Facility		$946.77	$1,443.63	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $234.03 / $234.03 / $234.03	Facility	AS	$234.03	$234.03	$234.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$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