Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.61 / $5,649.00 / $15,341.00	Facility		$1,814.61	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,406.86 / $2,406.86 / $4,375.60	Facility		$2,406.86	$2,406.86	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,317.86 / $1,730.48 / $2,137.79	Professional		$1,317.86	$1,730.48	$2,137.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $892.82 / $1,607.51 / $2,310.42	Facility		$892.82	$1,607.51	$2,310.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,146.10 / $1,567.80 / $1,658.25	Facility		$1,146.10	$1,567.80	$1,658.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.08 / $1,720.27 / $2,406.86	Facility		$968.08	$1,720.27	$2,406.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $268.22 / $268.22 / $268.22	Facility	AS	$268.22	$268.22	$268.22
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 $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00