Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.37 / $5,116.62 / $20,400.00	Facility		$1,578.37	$5,116.62	$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 $1,318.17 / $1,561.27 / $1,873.07	Professional		$1,318.17	$1,561.27	$1,873.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $878.81 / $1,264.81 / $1,588.65	Facility		$878.81	$1,264.81	$1,588.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $897.78 / $1,241.51 / $1,425.76	Facility		$897.78	$1,241.51	$1,425.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.28 / $1,355.94 / $5,949.00	Facility		$963.28	$1,355.94	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $231.74 / $231.74 / $231.74	Facility	AS	$231.74	$231.74	$231.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00