Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,643.15 / $7,920.26 / $20,400.00	Facility		$1,643.15	$7,920.26	$20,400.00
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 $1,393.21 / $1,631.90 / $1,957.82	Professional		$1,393.21	$1,631.90	$1,957.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,032.44 / $1,355.32 / $1,798.60	Facility		$1,032.44	$1,355.32	$1,798.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,028.10 / $1,415.04 / $1,513.53	Facility		$1,028.10	$1,415.04	$1,513.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,479.75 / $5,949.00	Facility		$1,040.00	$1,479.75	$5,949.00
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