Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.38 / $7,920.26 / $17,342.63	Facility		$1,369.38	$7,920.26	$17,342.63
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 $1,296.77 / $1,518.94 / $1,822.29	Professional		$1,296.77	$1,518.94	$1,822.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $940.47 / $1,259.83 / $1,662.60	Facility		$940.47	$1,259.83	$1,662.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $950.59 / $1,305.83 / $1,400.97	Facility		$950.59	$1,305.83	$1,400.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $957.78 / $1,365.82 / $5,949.00	Facility		$957.78	$1,365.82	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $223.22 / $223.22 / $223.22	Facility	AS	$223.22	$223.22	$223.22
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