Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,909.50 / $7,920.26 / $20,400.00	Facility		$1,909.50	$7,920.26	$20,400.00
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 $1,885.14 / $2,210.86 / $2,649.10	Professional		$1,885.14	$2,210.86	$2,649.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,429.73 / $1,958.73 / $2,835.11	Facility		$1,429.73	$1,958.73	$2,835.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,420.94 / $1,953.05 / $2,058.36	Facility		$1,420.94	$1,953.05	$2,058.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,429.73 / $2,119.92 / $2,835.11	Facility		$1,429.73	$2,119.92	$2,835.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $330.57 / $330.57 / $330.57	Facility	AS	$330.57	$330.57	$330.57
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 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00