Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.99 / $3,213.00 / $7,920.26	Facility		$1,238.99	$3,213.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,176.54 / $1,381.22 / $1,657.06	Professional		$1,176.54	$1,381.22	$1,657.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $793.05 / $1,098.00 / $1,447.55	Facility		$793.05	$1,098.00	$1,447.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $823.65 / $1,139.00 / $1,272.33	Facility		$823.65	$1,139.00	$1,272.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.33 / $1,215.53 / $2,450.00	Facility		$825.33	$1,215.53	$2,450.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $204.11 / $204.11 / $204.11	Facility	AS	$204.11	$204.11	$204.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,830.35	Facility		$2,155.00	$13,246.00	$26,830.35