Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.52 / $2,747.00 / $13,320.00	Facility		$1,235.52	$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 $1,168.53 / $1,368.73 / $1,642.08	Professional		$1,168.53	$1,368.73	$1,642.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $825.46 / $1,135.22 / $1,503.65	Facility		$825.46	$1,135.22	$1,503.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $855.14 / $1,182.55 / $1,263.61	Facility		$855.14	$1,182.55	$1,263.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $1,245.54 / $5,217.00	Facility		$830.00	$1,245.54	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $200.83 / $200.83 / $200.83	Facility	AS	$200.83	$200.83	$200.83
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