Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.54 / $7,920.26 / $13,320.00	Facility		$1,458.54	$7,920.26	$13,320.00
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 $1,354.36 / $1,591.49 / $1,903.22	Professional		$1,354.36	$1,591.49	$1,903.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.83 / $1,411.08 / $2,049.28	Facility		$1,022.83	$1,411.08	$2,049.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,044.58 / $1,431.79 / $1,485.80	Facility		$1,044.58	$1,431.79	$1,485.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,022.83 / $1,521.21 / $2,049.28	Facility		$1,022.83	$1,521.21	$2,049.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $238.62 / $238.62 / $238.62	Facility	AS	$238.62	$238.62	$238.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00