Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.84 / $7,621.25 / $24,229.32	Facility		$1,617.84	$7,621.25	$24,229.32
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 $1,806.52 / $2,118.06 / $2,538.62	Professional		$1,806.52	$2,118.06	$2,538.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,369.33 / $1,780.20 / $2,398.69	Facility		$1,369.33	$1,780.20	$2,398.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,375.01 / $1,895.43 / $1,971.32	Facility		$1,375.01	$1,895.43	$1,971.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,369.33 / $1,958.14 / $3,389.67	Facility		$1,369.33	$1,958.14	$3,389.67
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $316.58 / $316.58 / $316.58	Facility	AS	$316.58	$316.58	$316.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $24,872.00	Facility		$3,028.00	$18,628.00	$24,872.00