Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.19 / $4,283.46 / $8,728.00	Facility		$1,167.19	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,406.86	Facility		$2,341.30	$2,341.30	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $991.86 / $1,302.40 / $1,617.99	Professional		$991.86	$1,302.40	$1,617.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $669.54 / $1,214.83 / $1,746.05	Facility		$669.54	$1,214.83	$1,746.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $841.09 / $1,163.11 / $1,245.53	Facility		$841.09	$1,163.11	$1,245.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.63 / $1,259.83 / $1,874.63	Facility		$733.63	$1,259.83	$1,874.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $201.60 / $201.60 / $201.60	Facility	AS	$201.60	$201.60	$201.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00