Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.38 / $5,116.62 / $25,686.33	Facility		$1,944.38	$5,116.62	$25,686.33
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 $2,094.32 / $2,453.12 / $2,943.04	Professional		$2,094.32	$2,453.12	$2,943.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.42 / $2,034.22 / $2,632.76	Facility		$1,452.42	$2,034.22	$2,632.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,523.41 / $2,077.00 / $2,270.63	Facility		$1,523.41	$2,077.00	$2,270.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,501.76 / $2,177.91 / $3,904.69	Facility		$1,501.76	$2,177.91	$3,904.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $364.86 / $364.86 / $364.86	Facility	AS	$364.86	$364.86	$364.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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