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 / $22,255.09	Facility		$2,528.00	$7,920.26	$22,255.09
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 $2,304.51 / $2,710.27 / $3,238.42	Professional		$2,304.51	$2,710.27	$3,238.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.38 / $2,323.92 / $3,069.35	Facility		$1,698.38	$2,323.92	$3,069.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,765.03 / $2,396.65 / $2,528.58	Facility		$1,765.03	$2,396.65	$2,528.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,687.50 / $2,390.71 / $3,219.59	Facility		$1,687.50	$2,390.71	$3,219.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $405.82 / $405.82 / $405.82	Facility	AS	$405.82	$405.82	$405.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,963.77 / $19,064.24 / $26,041.52	Facility		$7,963.77	$19,064.24	$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