Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,055.21 / $2,747.00 / $7,920.26	Facility		$2,055.21	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,648.27 / $2,164.33 / $2,650.37	Professional		$1,648.27	$2,164.33	$2,650.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,133.30 / $1,858.06 / $2,874.91	Facility		$1,133.30	$1,858.06	$2,874.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,369.37 / $1,989.90 / $2,107.82	Facility		$1,369.37	$1,989.90	$2,107.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,175.16 / $2,117.42 / $2,874.91	Facility		$1,175.16	$2,117.42	$2,874.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $340.40 / $340.40 / $340.40	Facility	AS	$340.40	$340.40	$340.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,353.79 / $5,353.79 / $5,353.79	Facility		$5,353.79	$5,353.79	$5,353.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00