Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.03 / $7,920.26 / $20,400.00	Facility		$1,642.03	$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 $1,385.58 / $1,623.39 / $1,947.09	Professional		$1,385.58	$1,623.39	$1,947.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $992.09 / $1,363.44 / $1,803.70	Facility		$992.09	$1,363.44	$1,803.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,031.09 / $1,404.32 / $1,510.18	Facility		$1,031.09	$1,404.32	$1,510.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.41 / $1,404.72 / $1,921.29	Facility		$975.41	$1,404.72	$1,921.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $242.44 / $242.44 / $242.44	Facility	AS	$242.44	$242.44	$242.44
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