Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.52 / $2,747.00 / $7,920.26	Facility		$1,982.52	$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 $1,580.53 / $2,075.38 / $2,536.78	Professional		$1,580.53	$2,075.38	$2,536.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,086.24 / $1,781.69 / $2,794.39	Facility		$1,086.24	$1,781.69	$2,794.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,428.79 / $1,925.38 / $2,004.64	Facility		$1,428.79	$1,925.38	$2,004.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,149.60 / $2,042.25 / $2,794.39	Facility		$1,149.60	$2,042.25	$2,794.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $322.16 / $322.16 / $322.16	Facility	AS	$322.16	$322.16	$322.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,247.28 / $5,247.28 / $5,247.28	Facility		$5,247.28	$5,247.28	$5,247.28
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