Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $8,952.00 / $32,689.00	Facility		$1,924.00	$8,952.00	$32,689.00
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 $1,452.28 / $1,906.97 / $2,328.25	Professional		$1,452.28	$1,906.97	$2,328.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $998.13 / $1,637.12 / $2,566.69	Facility		$998.13	$1,637.12	$2,566.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,252.59 / $1,769.14 / $1,849.87	Facility		$1,252.59	$1,769.14	$1,849.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.74 / $1,866.19 / $2,566.69	Facility		$1,035.74	$1,866.19	$2,566.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $299.89 / $299.89 / $299.89	Facility	AS	$299.89	$299.89	$299.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,029.79 / $10,878.03 / $12,827.23	Facility		$5,029.79	$10,878.03	$12,827.23
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