Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.71 / $5,116.62 / $20,400.00	Facility		$1,095.71	$5,116.62	$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 $939.05 / $1,099.93 / $1,319.60	Professional		$939.05	$1,099.93	$1,319.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $698.53 / $910.78 / $1,189.15	Facility		$698.53	$910.78	$1,189.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $677.82 / $930.80 / $1,004.33	Facility		$677.82	$930.80	$1,004.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.53 / $990.54 / $5,217.00	Facility		$698.53	$990.54	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $160.10 / $160.10 / $160.10	Facility	AS	$160.10	$160.10	$160.10
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
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00