Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.21 / $7,920.26 / $21,735.00	Facility		$1,409.21	$7,920.26	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.58 / $1,413.31 / $1,695.57	Professional		$1,206.58	$1,413.31	$1,695.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $848.72 / $1,150.56 / $1,518.95	Facility		$848.72	$1,150.56	$1,518.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.80 / $1,193.33 / $1,293.09	Facility		$865.80	$1,193.33	$1,293.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $867.45 / $1,252.58 / $5,359.00	Facility		$867.45	$1,252.58	$5,359.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $205.31 / $205.31 / $205.31	Facility	AS	$205.31	$205.31	$205.31
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