Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.35 / $11,377.08 / $42,921.00	Facility		$1,258.35	$11,377.08	$42,921.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,901.32	Facility		$2,341.30	$2,341.30	$2,901.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,208.05 / $1,485.76	Professional		$920.00	$1,208.05	$1,485.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.58 / $1,037.09 / $1,574.45	Facility		$625.58	$1,037.09	$1,574.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $762.16 / $1,093.44 / $1,170.49	Facility		$762.16	$1,093.44	$1,170.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.36 / $1,164.17 / $2,012.83	Facility		$702.36	$1,164.17	$2,012.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $188.49 / $188.49 / $188.49	Facility	AS	$188.49	$188.49	$188.49
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