Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.91 / $7,920.26 / $20,400.00	Facility		$1,872.91	$7,920.26	$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 $1,571.07 / $1,854.28 / $2,224.61	Professional		$1,571.07	$1,854.28	$2,224.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,057.92 / $1,480.30 / $1,920.15	Facility		$1,057.92	$1,480.30	$1,920.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,088.19 / $1,504.82 / $1,698.45	Facility		$1,088.19	$1,504.82	$1,698.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,093.07 / $1,626.84 / $5,949.00	Facility		$1,093.07	$1,626.84	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $274.77 / $274.77 / $274.77	Facility	AS	$274.77	$274.77	$274.77
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 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00