Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,815.49 / $4,709.18 / $7,920.26	Facility		$3,815.49	$4,709.18	$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 $3,076.71 / $4,040.00 / $4,937.85	Professional		$3,076.71	$4,040.00	$4,937.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,103.40 / $3,627.30 / $5,344.41	Facility		$2,103.40	$3,627.30	$5,344.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.87 / $3,738.60 / $3,935.58	Facility		$2,754.87	$3,738.60	$3,935.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,122.67 / $3,969.70 / $5,344.41	Facility		$2,122.67	$3,969.70	$5,344.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $636.57 / $636.57 / $636.57	Facility	AS	$636.57	$636.57	$636.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,114.86 / $10,114.86 / $10,114.86	Facility		$10,114.86	$10,114.86	$10,114.86
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