Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.79 / $2,816.50 / $13,320.00	Facility		$1,104.79	$2,816.50	$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 $924.66 / $1,083.57 / $1,299.38	Professional		$924.66	$1,083.57	$1,299.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $699.54 / $944.38 / $1,414.32	Facility		$699.54	$944.38	$1,414.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $701.07 / $965.47 / $1,006.34	Facility		$701.07	$965.47	$1,006.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.54 / $1,000.34 / $5,217.00	Facility		$699.54	$1,000.34	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $159.33 / $159.33 / $159.33	Facility	AS	$159.33	$159.33	$159.33
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