Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.60 / $7,074.00 / $13,320.00	Facility		$1,163.60	$7,074.00	$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 $1,268.50 / $1,485.83 / $1,782.57	Professional		$1,268.50	$1,485.83	$1,782.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $921.08 / $1,237.85 / $1,881.74	Facility		$921.08	$1,237.85	$1,881.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $936.05 / $1,283.15 / $1,369.48	Facility		$936.05	$1,283.15	$1,369.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $937.01 / $1,352.82 / $5,217.00	Facility		$937.01	$1,352.82	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $217.00 / $217.00 / $217.00	Facility	AS	$217.00	$217.00	$217.00
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00