Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$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 $3,030.30 / $3,564.11 / $4,258.34	Professional		$3,030.30	$3,564.11	$4,258.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,181.35 / $3,012.54 / $4,026.45	Facility		$2,181.35	$3,012.54	$4,026.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,322.21 / $3,143.35 / $3,321.86	Facility		$2,322.21	$3,143.35	$3,321.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,177.09 / $3,142.08 / $4,227.00	Facility		$2,177.09	$3,142.08	$4,227.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $533.26 / $533.26 / $533.26	Facility	AS	$533.26	$533.26	$533.26
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 $1,433.30 / $15,055.00 / $24,231.00	Facility		$1,433.30	$15,055.00	$24,231.00