Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,531.28 / $7,920.26 / $20,400.00	Facility		$1,531.28	$7,920.26	$20,400.00
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 $1,292.26 / $1,513.66 / $1,815.96	Professional		$1,292.26	$1,513.66	$1,815.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $969.95 / $1,257.35 / $1,666.85	Facility		$969.95	$1,257.35	$1,666.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $953.01 / $1,317.89 / $1,405.66	Facility		$953.01	$1,317.89	$1,405.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $969.95 / $1,387.03 / $3,397.00	Facility		$969.95	$1,387.03	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $224.10 / $224.10 / $224.10	Facility	AS	$224.10	$224.10	$224.10
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