Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.10 / $4,962.67 / $15,341.00	Facility		$1,757.10	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,638.38 / $1,921.80 / $2,302.34	Professional		$1,638.38	$1,921.80	$2,302.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,235.07 / $1,699.75 / $2,316.78	Facility		$1,235.07	$1,699.75	$2,316.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,223.11 / $1,674.18 / $1,794.26	Facility		$1,223.11	$1,674.18	$1,794.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,235.07 / $1,747.32 / $2,316.78	Facility		$1,235.07	$1,747.32	$2,316.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.11 / $287.11 / $287.11	Facility	AS	$287.11	$287.11	$287.11
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