Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.16 / $7,920.26 / $20,400.00	Facility		$1,584.16	$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 $1,355.89 / $1,588.19 / $1,905.37	Professional		$1,355.89	$1,588.19	$1,905.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $960.32 / $1,319.98 / $1,758.65	Facility		$960.32	$1,319.98	$1,758.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,007.28 / $1,366.99 / $1,465.96	Facility		$1,007.28	$1,366.99	$1,465.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $949.80 / $1,351.44 / $1,850.06	Facility		$949.80	$1,351.44	$1,850.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $235.02 / $235.02 / $235.02	Facility	AS	$235.02	$235.02	$235.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,644.37 / $18,493.50 / $25,243.99	Facility		$3,644.37	$18,493.50	$25,243.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00