Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.70 / $8,369.76 / $30,593.00	Facility		$1,386.70	$8,369.76	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,059.63	Facility		$2,059.63	$2,059.63	$2,059.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.99 / $1,334.08 / $1,638.50	Professional		$1,015.99	$1,334.08	$1,638.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $682.47 / $1,145.14 / $1,769.75	Facility		$682.47	$1,145.14	$1,769.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.96 / $1,233.47 / $1,289.75	Facility		$891.96	$1,233.47	$1,289.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.84 / $1,295.27 / $1,769.75	Facility		$744.84	$1,295.27	$1,769.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $206.18 / $206.18 / $206.18	Facility	AS	$206.18	$206.18	$206.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00