Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.45 / $7,920.26 / $20,400.00	Facility		$1,343.45	$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 $1,141.30 / $1,337.30 / $1,603.81	Professional		$1,141.30	$1,337.30	$1,603.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $665.97 / $1,023.22 / $1,480.70	Facility		$665.97	$1,023.22	$1,480.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $779.40 / $1,162.45 / $1,244.19	Facility		$779.40	$1,162.45	$1,244.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.18 / $1,198.17 / $5,217.00	Facility		$710.18	$1,198.17	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $198.21 / $198.21 / $198.21	Facility	AS	$198.21	$198.21	$198.21
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 $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00