Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.48 / $4,684.68 / $8,728.00	Facility		$1,500.48	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.15 / $1,657.20 / $1,988.17	Professional		$1,401.15	$1,657.20	$1,988.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $937.01 / $1,343.41 / $1,692.35	Facility		$937.01	$1,343.41	$1,692.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $956.89 / $1,323.25 / $1,514.87	Facility		$956.89	$1,323.25	$1,514.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $961.65 / $1,440.68 / $2,573.00	Facility		$961.65	$1,440.68	$2,573.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $246.15 / $246.15 / $246.15	Facility	AS	$246.15	$246.15	$246.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00