Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.80 / $7,920.26 / $31,642.76	Facility		$1,295.80	$7,920.26	$31,642.76
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 $1,232.24 / $1,447.96 / $1,737.13	Professional		$1,232.24	$1,447.96	$1,737.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.41 / $1,134.72 / $1,499.40	Facility		$887.41	$1,134.72	$1,499.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $853.20 / $1,179.86 / $1,325.93	Facility		$853.20	$1,179.86	$1,325.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $901.28 / $1,263.31 / $3,397.00	Facility		$901.28	$1,263.31	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $212.19 / $212.19 / $212.19	Facility	AS	$212.19	$212.19	$212.19
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00