Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,562.39 / $7,920.26 / $14,691.47	Facility		$1,562.39	$7,920.26	$14,691.47
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 $1,453.87 / $1,708.78 / $2,043.05	Professional		$1,453.87	$1,708.78	$2,043.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.54 / $1,457.28 / $1,912.50	Facility		$1,096.54	$1,457.28	$1,912.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,092.55 / $1,499.46 / $1,573.52	Facility		$1,092.55	$1,499.46	$1,573.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.54 / $1,568.05 / $3,397.00	Facility		$1,096.54	$1,568.05	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $252.71 / $252.71 / $252.71	Facility	AS	$252.71	$252.71	$252.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
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