Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $7,920.26 / $20,400.00	Facility		$1,794.00	$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 $1,518.86 / $1,779.08 / $2,134.39	Professional		$1,518.86	$1,779.08	$2,134.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,042.88 / $1,476.22 / $1,963.50	Facility		$1,042.88	$1,476.22	$1,963.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,119.45 / $1,536.96 / $1,644.18	Facility		$1,119.45	$1,536.96	$1,644.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,063.20 / $1,615.10 / $5,949.00	Facility		$1,063.20	$1,615.10	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $261.55 / $261.55 / $261.55	Facility	AS	$261.55	$261.55	$261.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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