Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,648.85 / $10,347.48 / $21,420.01	Facility		$2,648.85	$10,347.48	$21,420.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,460.71 / $2,882.30 / $3,457.94	Professional		$2,460.71	$2,882.30	$3,457.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,736.17 / $2,396.30 / $3,150.95	Facility		$1,736.17	$2,396.30	$3,150.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,827.21 / $2,485.03 / $2,683.35	Facility		$1,827.21	$2,485.03	$2,683.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,759.27 / $2,599.83 / $4,614.42	Facility		$1,759.27	$2,599.83	$4,614.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $432.57 / $432.57 / $432.57	Facility	AS	$432.57	$432.57	$432.57
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