Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.31 / $1,812.77 / $13,320.00	Facility		$776.31	$1,812.77	$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 $1,126.14 / $1,372.56 / $1,753.14	Professional		$1,126.14	$1,372.56	$1,753.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.86 / $1,066.18 / $1,573.52	Facility		$730.86	$1,066.18	$1,573.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.04 / $1,300.18 / $1,470.65	Facility		$812.04	$1,300.18	$1,470.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.87 / $1,086.90 / $1,936.36	Facility		$731.87	$1,086.90	$1,936.36
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $229.45 / $229.45 / $229.45	Facility	AS	$229.45	$229.45	$229.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$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