Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$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 $2,724.12 / $3,191.06 / $3,828.08	Professional		$2,724.12	$3,191.06	$3,828.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,950.77 / $2,657.32 / $3,490.95	Facility		$1,950.77	$2,657.32	$3,490.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,004.86 / $2,718.52 / $2,981.50	Facility		$2,004.86	$2,718.52	$2,981.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,923.03 / $2,702.16 / $3,791.09	Facility		$1,923.03	$2,702.16	$3,791.09
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $478.99 / $478.99 / $478.99	Facility	AS	$478.99	$478.99	$478.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00