Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.95 / $2,027.30 / $17,597.98	Facility		$1,100.95	$2,027.30	$17,597.98
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 $940.53 / $1,101.66 / $1,321.68	Professional		$940.53	$1,101.66	$1,321.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $912.02 / $1,209.55	Facility		$702.03	$912.02	$1,209.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.44 / $946.71 / $1,015.05	Facility		$689.44	$946.71	$1,015.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $1,003.90 / $5,949.00	Facility		$702.03	$1,003.90	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $161.41 / $161.41 / $161.41	Facility	AS	$161.41	$161.41	$161.41
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00