Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $13,320.00	Facility		$1,758.00	$2,747.00	$13,320.00
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 $1,722.30 / $2,133.92 / $2,604.92	Professional		$1,722.30	$2,133.92	$2,604.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.24 / $1,661.12 / $2,531.11	Facility		$1,084.24	$1,661.12	$2,531.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,225.70 / $1,984.07 / $2,148.02	Facility		$1,225.70	$1,984.07	$2,148.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,092.02 / $1,708.75 / $2,969.32	Facility		$1,092.02	$1,708.75	$2,969.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $344.44 / $344.44 / $344.44	Facility	AS	$344.44	$344.44	$344.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00