Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.79 / $7,920.26 / $20,400.00	Facility		$1,693.79	$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 $1,438.57 / $1,685.03 / $2,021.55	Professional		$1,438.57	$1,685.03	$2,021.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.26 / $1,399.34 / $1,855.55	Facility		$1,065.26	$1,399.34	$1,855.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,060.57 / $1,459.93 / $1,561.10	Facility		$1,060.57	$1,459.93	$1,561.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,072.43 / $1,527.53 / $5,949.00	Facility		$1,072.43	$1,527.53	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $249.10 / $249.10 / $249.10	Facility	AS	$249.10	$249.10	$249.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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