Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.56 / $7,920.26 / $20,400.00	Facility		$1,811.56	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,531.44 / $1,793.82 / $2,152.07	Professional		$1,531.44	$1,793.82	$2,152.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,125.83 / $1,489.24 / $1,977.95	Facility		$1,125.83	$1,489.24	$1,977.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,132.76 / $1,553.73 / $1,665.62	Facility		$1,132.76	$1,553.73	$1,665.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,147.11 / $1,624.43 / $3,865.00	Facility		$1,147.11	$1,624.43	$3,865.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $266.58 / $266.58 / $266.58	Facility	AS	$266.58	$266.58	$266.58
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