Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.58 / $9,972.00 / $20,400.00	Facility		$1,927.58	$9,972.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,631.60 / $1,911.13 / $2,292.81	Professional		$1,631.60	$1,911.13	$2,292.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,228.76 / $1,589.68 / $2,128.40	Facility		$1,228.76	$1,589.68	$2,128.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,218.52 / $1,677.01 / $1,770.14	Facility		$1,218.52	$1,677.01	$1,770.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,228.76 / $1,656.00 / $2,251.65	Facility		$1,228.76	$1,656.00	$2,251.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $283.83 / $283.83 / $283.83	Facility	AS	$283.83	$283.83	$283.83
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00