Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.15 / $6,027.00 / $27,011.75	Facility		$1,717.15	$6,027.00	$27,011.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,847.78 / $2,166.79 / $2,596.60	Professional		$1,847.78	$2,166.79	$2,596.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.06 / $1,917.04 / $2,783.28	Facility		$1,396.06	$1,917.04	$2,783.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,400.69 / $1,915.53 / $2,008.66	Facility		$1,400.69	$1,915.53	$2,008.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,396.06 / $2,080.50 / $2,783.28	Facility		$1,396.06	$2,080.50	$2,783.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $323.36 / $323.36 / $323.36	Facility	AS	$323.36	$323.36	$323.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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