Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,792.05 / $7,920.26 / $20,400.00	Facility		$1,792.05	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,528.41 / $1,790.27 / $2,147.81	Professional		$1,528.41	$1,790.27	$2,147.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,088.08 / $1,486.76 / $1,972.00	Facility		$1,088.08	$1,486.76	$1,972.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.58 / $1,552.39 / $1,655.57	Facility		$1,122.58	$1,552.39	$1,655.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,088.08 / $1,633.62 / $5,949.00	Facility		$1,088.08	$1,633.62	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $263.41 / $263.41 / $263.41	Facility	AS	$263.41	$263.41	$263.41
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00