Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.00 / $7,920.26 / $28,700.02	Facility		$1,484.00	$7,920.26	$28,700.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,397.55 / $1,636.99 / $1,963.92	Professional		$1,397.55	$1,636.99	$1,963.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,045.28 / $1,359.66 / $1,803.70	Facility		$1,045.28	$1,359.66	$1,803.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,033.44 / $1,420.40 / $1,511.52	Facility		$1,033.44	$1,420.40	$1,511.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.19 / $1,497.48 / $8,647.00	Facility		$1,047.19	$1,497.48	$8,647.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $241.57 / $241.57 / $241.57	Facility	AS	$241.57	$241.57	$241.57
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