Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,855.50 / $7,920.26 / $24,760.75	Facility		$1,855.50	$7,920.26	$24,760.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,572.81 / $1,842.27 / $2,210.19	Professional		$1,572.81	$1,842.27	$2,210.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.11 / $1,532.64 / $2,043.40	Facility		$1,154.11	$1,532.64	$2,043.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,164.06 / $1,585.76 / $1,708.50	Facility		$1,164.06	$1,585.76	$1,708.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,175.79 / $1,679.93 / $3,865.00	Facility		$1,175.79	$1,679.93	$3,865.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $272.80 / $272.80 / $272.80	Facility	AS	$272.80	$272.80	$272.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00