Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.07 / $2,690.00 / $7,920.26	Facility		$1,184.07	$2,690.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,290.25 / $1,576.00 / $2,012.84	Professional		$1,290.25	$1,576.00	$2,012.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.84 / $1,229.00 / $1,836.68	Facility		$828.84	$1,229.00	$1,836.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,003.80 / $1,533.91 / $1,668.97	Facility		$1,003.80	$1,533.91	$1,668.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.84 / $1,252.85 / $2,234.40	Facility		$828.84	$1,252.85	$2,234.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $267.45 / $267.45 / $267.45	Facility	AS	$267.45	$267.45	$267.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$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