Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.51 / $7,920.26 / $20,400.00	Facility		$2,020.51	$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 $1,898.77 / $2,224.08 / $2,668.26	Professional		$1,898.77	$2,224.08	$2,668.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,343.77 / $1,850.08 / $2,453.10	Facility		$1,343.77	$1,850.08	$2,453.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.41 / $1,909.32 / $2,064.94	Facility		$1,409.41	$1,909.32	$2,064.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,328.84 / $1,864.80 / $2,620.64	Facility		$1,328.84	$1,864.80	$2,620.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $330.24 / $330.24 / $330.24	Facility	AS	$330.24	$330.24	$330.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,842.83 / $18,493.50 / $25,243.99	Facility		$7,842.83	$18,493.50	$25,243.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00