Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.34 / $7,920.26 / $20,400.00	Facility		$1,626.34	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,379.87 / $1,616.28 / $1,939.07	Professional		$1,379.87	$1,616.28	$1,939.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.50 / $1,343.43 / $1,779.05	Facility		$1,012.50	$1,343.43	$1,779.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,017.93 / $1,392.93 / $1,489.41	Facility		$1,017.93	$1,392.93	$1,489.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,033.46 / $1,471.51 / $3,397.00	Facility		$1,033.46	$1,471.51	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $237.75 / $237.75 / $237.75	Facility	AS	$237.75	$237.75	$237.75
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 / $24,872.00	Facility		$3,028.00	$18,628.00	$24,872.00