Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.72 / $5,116.62 / $13,746.00	Facility		$1,061.72	$5,116.62	$13,746.00
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 $1,383.34 / $1,636.81 / $1,963.71	Professional		$1,383.34	$1,636.81	$1,963.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.11 / $1,327.03 / $1,671.95	Facility		$923.11	$1,327.03	$1,671.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $944.78 / $1,306.50 / $1,496.78	Facility		$944.78	$1,306.50	$1,496.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.63 / $1,422.98 / $5,949.00	Facility		$1,008.63	$1,422.98	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $243.10 / $243.10 / $243.10	Facility	AS	$243.10	$243.10	$243.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00