Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.48 / $1,671.09 / $13,320.00	Facility		$939.48	$1,671.09	$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 $1,020.05 / $1,267.09 / $1,615.72	Professional		$1,020.05	$1,267.09	$1,615.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $677.33 / $1,022.38 / $1,497.62	Facility		$677.33	$1,022.38	$1,497.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $777.07 / $1,237.58 / $1,351.39	Facility		$777.07	$1,237.58	$1,351.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.47 / $1,049.85 / $1,874.34	Facility		$681.47	$1,049.85	$1,874.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $216.67 / $216.67 / $216.67	Facility	AS	$216.67	$216.67	$216.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
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