Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.30 / $2,747.00 / $13,320.00	Facility		$966.30	$2,747.00	$13,320.00
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 $1,245.10 / $1,458.43 / $1,749.70	Professional		$1,245.10	$1,458.43	$1,749.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $885.54 / $1,210.24 / $1,615.00	Facility		$885.54	$1,210.24	$1,615.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $922.97 / $1,269.65 / $1,348.04	Facility		$922.97	$1,269.65	$1,348.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $893.75 / $1,327.90 / $5,217.00	Facility		$893.75	$1,327.90	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $214.81 / $214.81 / $214.81	Facility	AS	$214.81	$214.81	$214.81
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