Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.18 / $4,962.67 / $15,341.00	Facility		$1,831.18	$4,962.67	$15,341.00
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 $1,752.48 / $2,052.73 / $2,462.67	Professional		$1,752.48	$2,052.73	$2,462.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.67 / $1,697.04 / $2,224.44	Facility		$1,153.67	$1,697.04	$2,224.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,227.29 / $1,742.41 / $1,884.04	Facility		$1,227.29	$1,742.41	$1,884.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,153.67 / $1,705.00 / $2,375.21	Facility		$1,153.67	$1,705.00	$2,375.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $299.45 / $299.45 / $299.45	Facility	AS	$299.45	$299.45	$299.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,963.77 / $18,894.75 / $25,243.99	Facility		$7,963.77	$18,894.75	$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