Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.55 / $1,471.37 / $13,746.00	Facility		$800.55	$1,471.37	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.66 / $1,078.15 / $1,482.51	Professional		$856.66	$1,078.15	$1,482.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.59 / $880.68 / $1,397.39	Facility		$563.59	$880.68	$1,397.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.95 / $1,120.84 / $1,230.11	Facility		$713.95	$1,120.84	$1,230.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $563.59 / $888.51 / $1,706.81	Facility		$563.59	$888.51	$1,706.81
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $195.70 / $195.70 / $195.70	Facility	AS	$195.70	$195.70	$195.70
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00