Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$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 $1,546.04 / $1,810.91 / $2,172.58	Professional		$1,546.04	$1,810.91	$2,172.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.83 / $1,506.60 / $2,017.05	Facility		$1,104.83	$1,506.60	$2,017.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,155.05 / $1,558.90 / $1,683.71	Facility		$1,155.05	$1,558.90	$1,683.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,090.45 / $1,546.56 / $2,146.96	Facility		$1,090.45	$1,546.56	$2,146.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $269.74 / $269.74 / $269.74	Facility	AS	$269.74	$269.74	$269.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,744.62 / $7,674.09 / $9,851.42	Facility		$3,744.62	$7,674.09	$9,851.42
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