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 / $23,230.47	Facility		$1,758.00	$7,920.26	$23,230.47
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 $1,609.06 / $1,884.73 / $2,261.14	Professional		$1,609.06	$1,884.73	$2,261.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,168.97 / $1,549.69 / $2,017.90	Facility		$1,168.97	$1,549.69	$2,017.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,151.17 / $1,591.92 / $1,742.00	Facility		$1,151.17	$1,591.92	$1,742.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,168.97 / $1,689.95 / $5,217.00	Facility		$1,168.97	$1,689.95	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $280.23 / $280.23 / $280.23	Facility	AS	$280.23	$280.23	$280.23
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