Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $7,920.26 / $20,400.00	Facility		$1,184.00	$7,920.26	$20,400.00
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 $1,010.01 / $1,183.05 / $1,419.32	Professional		$1,010.01	$1,183.05	$1,419.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $759.77 / $981.46 / $1,305.59	Facility		$759.77	$981.46	$1,305.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $743.71 / $1,028.45 / $1,087.41	Facility		$743.71	$1,028.45	$1,087.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.77 / $1,083.33 / $5,217.00	Facility		$759.77	$1,083.33	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $174.51 / $174.51 / $174.51	Facility	AS	$174.51	$174.51	$174.51
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00