Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.95 / $7,920.26 / $20,400.00	Facility		$1,200.95	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.63 / $1,191.97 / $1,430.02	Professional		$1,017.63	$1,191.97	$1,430.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $721.85 / $988.28 / $1,305.59	Facility		$721.85	$988.28	$1,305.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $753.40 / $1,032.47 / $1,103.49	Facility		$753.40	$1,032.47	$1,103.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $754.32 / $1,083.52 / $5,217.00	Facility		$754.32	$1,083.52	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $176.04 / $176.04 / $176.04	Facility	AS	$176.04	$176.04	$176.04
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