Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,980.16 / $7,920.26 / $20,400.00	Facility		$1,980.16	$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 $1,854.34 / $2,172.03 / $2,605.82	Professional		$1,854.34	$2,172.03	$2,605.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,393.88 / $1,807.92 / $2,408.90	Facility		$1,393.88	$1,807.92	$2,408.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,382.76 / $1,873.30 / $2,018.71	Facility		$1,382.76	$1,873.30	$2,018.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,393.88 / $1,859.04 / $2,565.71	Facility		$1,393.88	$1,859.04	$2,565.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $323.47 / $323.47 / $323.47	Facility	AS	$323.47	$323.47	$323.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
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