Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.01 / $7,074.00 / $20,400.00	Facility		$1,211.01	$7,074.00	$20,400.00
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 $1,154.21 / $1,351.96 / $1,621.96	Professional		$1,154.21	$1,351.96	$1,621.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $844.41 / $1,120.33 / $1,463.70	Facility		$844.41	$1,120.33	$1,463.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $838.19 / $1,150.39 / $1,242.84	Facility		$838.19	$1,150.39	$1,242.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $844.41 / $1,205.67 / $5,217.00	Facility		$844.41	$1,205.67	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $198.32 / $198.32 / $198.32	Facility	AS	$198.32	$198.32	$198.32
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