Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,800.88 / $7,920.26 / $20,400.00	Facility		$1,800.88	$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 $1,526.81 / $1,788.38 / $2,145.55	Professional		$1,526.81	$1,788.38	$2,145.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.92 / $1,544.29 / $1,969.45	Facility		$1,143.92	$1,544.29	$1,969.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,130.33 / $1,531.39 / $1,654.23	Facility		$1,130.33	$1,531.39	$1,654.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,143.92 / $1,567.17 / $2,105.78	Facility		$1,143.92	$1,567.17	$2,105.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $264.39 / $264.39 / $264.39	Facility	AS	$264.39	$264.39	$264.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,963.77 / $18,493.50 / $25,243.99	Facility		$7,963.77	$18,493.50	$25,243.99
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