Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.51 / $2,747.00 / $7,920.26	Facility		$1,159.51	$2,747.00	$7,920.26
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 $1,059.33 / $1,253.43 / $1,488.64	Professional		$1,059.33	$1,253.43	$1,488.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $807.20 / $1,099.26 / $1,486.35	Facility		$807.20	$1,099.26	$1,486.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $843.03 / $1,128.01 / $1,185.23	Facility		$843.03	$1,128.01	$1,185.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.20 / $1,126.77 / $1,509.40	Facility		$807.20	$1,126.77	$1,509.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $192.10 / $192.10 / $192.10	Facility	AS	$192.10	$192.10	$192.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$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