Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.14 / $8,554.04 / $15,225.96	Facility		$1,198.14	$8,554.04	$15,225.96
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 $1,171.06 / $1,371.69 / $1,645.64	Professional		$1,171.06	$1,371.69	$1,645.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.78 / $1,137.70 / $1,518.10	Facility		$828.78	$1,137.70	$1,518.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.80 / $1,191.93 / $1,265.63	Facility		$865.80	$1,191.93	$1,265.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $1,248.36 / $5,949.00	Facility		$832.50	$1,248.36	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $201.93 / $201.93 / $201.93	Facility	AS	$201.93	$201.93	$201.93
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