Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.26 / $7,920.26 / $20,400.00	Facility		$2,159.26	$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 $1,809.81 / $2,119.88 / $2,543.25	Professional		$1,809.81	$2,119.88	$2,543.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.50 / $1,704.96 / $2,230.40	Facility		$1,221.50	$1,704.96	$2,230.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,274.72 / $1,762.77 / $1,971.14	Facility		$1,274.72	$1,762.77	$1,971.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,207.72 / $1,755.22 / $2,520.23	Facility		$1,207.72	$1,755.22	$2,520.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $317.80 / $317.80 / $317.80	Facility	AS	$317.80	$317.80	$317.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,644.37 / $18,493.50 / $25,243.99	Facility		$3,644.37	$18,493.50	$25,243.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00