Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.75 / $7,920.26 / $20,400.00	Facility		$1,812.75	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,536.65 / $1,799.92 / $2,159.39	Professional		$1,536.65	$1,799.92	$2,159.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.53 / $1,494.82 / $1,971.15	Facility		$1,081.53	$1,494.82	$1,971.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,132.28 / $1,552.39 / $1,658.92	Facility		$1,132.28	$1,552.39	$1,658.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,101.93 / $1,620.71 / $7,090.00	Facility		$1,101.93	$1,620.71	$7,090.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $264.83 / $264.83 / $264.83	Facility	AS	$264.83	$264.83	$264.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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