Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.41 / $2,747.00 / $13,746.00	Facility		$1,350.41	$2,747.00	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,274.95 / $1,493.38 / $1,791.63	Professional		$1,274.95	$1,493.38	$1,791.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $941.90 / $1,238.76 / $1,640.50	Facility		$941.90	$1,238.76	$1,640.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $937.51 / $1,291.76 / $1,380.87	Facility		$937.51	$1,291.76	$1,380.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.08 / $1,354.16 / $5,949.00	Facility		$954.08	$1,354.16	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $220.38 / $220.38 / $220.38	Facility	AS	$220.38	$220.38	$220.38
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00