Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$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 $1,541.18 / $1,805.22 / $2,165.75	Professional		$1,541.18	$1,805.22	$2,165.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $1,494.62 / $1,938.00	Facility		$1,132.49	$1,494.62	$1,938.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,110.47 / $1,527.08 / $1,668.97	Facility		$1,110.47	$1,527.08	$1,668.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $1,599.72 / $2,870.04	Facility		$1,132.49	$1,599.72	$2,870.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $268.32 / $268.32 / $268.32	Facility	AS	$268.32	$268.32	$268.32
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 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00