Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.48 / $7,920.26 / $20,400.00	Facility		$1,063.48	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.07 / $1,067.51 / $1,280.71	Professional		$911.07	$1,067.51	$1,280.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.52 / $876.96 / $1,156.84	Facility		$663.52	$876.96	$1,156.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $659.40 / $906.51 / $978.87	Facility		$659.40	$906.51	$978.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.17 / $965.06 / $5,949.00	Facility		$675.17	$965.06	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $155.29 / $155.29 / $155.29	Facility	AS	$155.29	$155.29	$155.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00