Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,691.62 / $5,116.62 / $20,400.00	Facility		$1,691.62	$5,116.62	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,411.12 / $1,675.31 / $2,009.90	Professional		$1,411.12	$1,675.31	$2,009.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $920.34 / $1,314.74 / $1,729.75	Facility		$920.34	$1,314.74	$1,729.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $966.58 / $1,336.65 / $1,526.93	Facility		$966.58	$1,336.65	$1,526.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.69 / $1,424.97 / $3,865.00	Facility		$938.69	$1,424.97	$3,865.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $248.12 / $248.12 / $248.12	Facility	AS	$248.12	$248.12	$248.12
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