Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.58 / $5,116.62 / $20,400.00	Facility		$1,453.58	$5,116.62	$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 $1,237.17 / $1,449.12 / $1,738.53	Professional		$1,237.17	$1,449.12	$1,738.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $897.67 / $1,200.94 / $1,584.40	Facility		$897.67	$1,200.94	$1,584.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $905.05 / $1,246.86 / $1,337.32	Facility		$905.05	$1,246.86	$1,337.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $914.44 / $1,303.72 / $5,949.00	Facility		$914.44	$1,303.72	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $213.17 / $213.17 / $213.17	Facility	AS	$213.17	$213.17	$213.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$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