Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,857.09 / $3,365.20 / $4,014.94	Professional		$2,857.09	$3,365.20	$4,014.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.76 / $2,983.20 / $4,265.16	Facility		$2,158.76	$2,983.20	$4,265.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,181.21 / $2,994.90 / $3,146.99	Facility		$2,181.21	$2,994.90	$3,146.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,158.76 / $3,181.34 / $4,265.16	Facility		$2,158.76	$3,181.34	$4,265.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $505.85 / $505.85 / $505.85	Facility	AS	$505.85	$505.85	$505.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00