Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.38 / $8,952.00 / $32,689.00	Facility		$1,250.38	$8,952.00	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,901.32	Facility		$2,059.63	$2,059.63	$2,901.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.10 / $1,198.98 / $1,474.55	Professional		$913.10	$1,198.98	$1,474.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.79 / $1,029.31 / $1,567.04	Facility		$622.79	$1,029.31	$1,567.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $799.52 / $1,089.42 / $1,161.78	Facility		$799.52	$1,089.42	$1,161.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $697.16 / $1,157.73 / $1,997.86	Facility		$697.16	$1,157.73	$1,997.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $187.62 / $187.62 / $187.62	Facility	AS	$187.62	$187.62	$187.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $13,092.93	Facility		$8,763.99	$12,680.11	$13,092.93
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