Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.15 / $4,962.67 / $15,341.00	Facility		$1,411.15	$4,962.67	$15,341.00
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 $1,208.90 / $1,416.01 / $1,698.81	Professional		$1,208.90	$1,416.01	$1,698.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.55 / $1,174.90 / $1,549.55	Facility		$851.55	$1,174.90	$1,549.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $1,199.96 / $1,308.51	Facility		$891.00	$1,199.96	$1,308.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,176.48 / $1,650.13	Facility		$842.00	$1,176.48	$1,650.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $207.82 / $207.82 / $207.82	Facility	AS	$207.82	$207.82	$207.82
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00