Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.45 / $5,116.62 / $20,400.00	Facility		$1,639.45	$5,116.62	$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 $1,409.40 / $1,650.86 / $1,980.56	Professional		$1,409.40	$1,650.86	$1,980.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.69 / $1,370.82 / $1,826.65	Facility		$1,044.69	$1,370.82	$1,826.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.46 / $1,439.16 / $1,519.56	Facility		$1,055.46	$1,439.16	$1,519.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.69 / $1,493.91 / $5,217.00	Facility		$1,044.69	$1,493.91	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $238.51 / $238.51 / $238.51	Facility	AS	$238.51	$238.51	$238.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00