Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.35 / $7,920.26 / $20,400.00	Facility		$1,795.35	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,520.84 / $1,781.40 / $2,137.16	Professional		$1,520.84	$1,781.40	$2,137.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,090.36 / $1,479.32 / $1,972.85	Facility		$1,090.36	$1,479.32	$1,972.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.07 / $1,553.06 / $1,656.91	Facility		$1,123.07	$1,553.06	$1,656.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,092.29 / $1,637.65 / $9,178.00	Facility		$1,092.29	$1,637.65	$9,178.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $264.39 / $264.39 / $264.39	Facility	AS	$264.39	$264.39	$264.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$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