Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,337.34 / $2,742.54 / $3,284.56	Professional		$2,337.34	$2,742.54	$3,284.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,763.55 / $2,299.08 / $3,066.80	Facility		$1,763.55	$2,299.08	$3,066.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,762.13 / $2,391.40 / $2,554.71	Facility		$1,762.13	$2,391.40	$2,554.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,763.55 / $2,388.23 / $3,250.48	Facility		$1,763.55	$2,388.23	$3,250.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $409.09 / $409.09 / $409.09	Facility	AS	$409.09	$409.09	$409.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
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