Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $5,649.00 / $15,341.00	Facility		$1,486.00	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,406.86	Facility		$2,310.00	$2,310.00	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.84 / $1,450.76 / $1,780.28	Professional		$1,104.84	$1,450.76	$1,780.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $731.59 / $1,245.58 / $1,915.99	Facility		$731.59	$1,245.58	$1,915.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $908.02 / $1,330.62 / $1,391.59	Facility		$908.02	$1,330.62	$1,391.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $804.77 / $1,454.76 / $2,393.04	Facility		$804.77	$1,454.76	$2,393.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $223.66 / $223.66 / $223.66	Facility	AS	$223.66	$223.66	$223.66
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