Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.17 / $7,920.26 / $20,400.00	Facility		$1,545.17	$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 $1,443.63 / $1,707.32 / $2,048.29	Professional		$1,443.63	$1,707.32	$2,048.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $969.22 / $1,365.02 / $1,755.25	Facility		$969.22	$1,365.02	$1,755.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $992.26 / $1,372.16 / $1,563.11	Facility		$992.26	$1,372.16	$1,563.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,488.96 / $5,949.00	Facility		$1,040.00	$1,488.96	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $253.25 / $253.25 / $253.25	Facility	AS	$253.25	$253.25	$253.25
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00