Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.61 / $7,074.00 / $23,225.38	Facility		$1,319.61	$7,074.00	$23,225.38
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 $1,124.63 / $1,317.31 / $1,580.40	Professional		$1,124.63	$1,317.31	$1,580.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $838.75 / $1,091.82 / $1,431.40	Facility		$838.75	$1,091.82	$1,431.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $817.84 / $1,124.26 / $1,214.71	Facility		$817.84	$1,124.26	$1,214.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $838.75 / $1,187.41 / $5,217.00	Facility		$838.75	$1,187.41	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $192.97 / $192.97 / $192.97	Facility	AS	$192.97	$192.97	$192.97
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