Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.64 / $3,506.66 / $13,320.00	Facility		$1,006.64	$3,506.66	$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 $1,296.40 / $1,536.30 / $1,821.77	Professional		$1,296.40	$1,536.30	$1,821.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $846.38 / $1,344.97 / $1,802.25	Facility		$846.38	$1,344.97	$1,802.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.26 / $1,382.56 / $1,437.15	Facility		$1,023.26	$1,382.56	$1,437.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $846.38 / $1,355.85 / $1,803.73	Facility		$846.38	$1,355.85	$1,803.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $228.79 / $228.79 / $228.79	Facility	AS	$228.79	$228.79	$228.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,573.67 / $15,257.31 / $18,175.73	Facility	50	$11,573.67	$15,257.31	$18,175.73
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