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 $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,750.75 / $4,417.26 / $5,270.75	Professional		$3,750.75	$4,417.26	$5,270.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,919.18 / $3,418.98 / $5,022.64	Facility		$1,919.18	$3,418.98	$5,022.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.33 / $3,914.28 / $4,120.50	Facility		$2,398.33	$3,914.28	$4,120.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,859.10 / $3,678.46 / $5,247.28	Facility		$1,859.10	$3,678.46	$5,247.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $662.56 / $662.56 / $662.56	Facility	AS	$662.56	$662.56	$662.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00