Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,388.46 / $7,920.26 / $23,856.49	Facility		$2,388.46	$7,920.26	$23,856.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,245.19 / $2,638.42 / $3,155.06	Professional		$2,245.19	$2,638.42	$3,155.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,596.51 / $2,197.28 / $2,979.25	Facility		$1,596.51	$2,197.28	$2,979.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,752.92 / $2,371.13 / $2,517.86	Facility		$1,752.92	$2,371.13	$2,517.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,596.51 / $2,206.44 / $3,192.13	Facility		$1,596.51	$2,206.44	$3,192.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $400.57 / $400.57 / $400.57	Facility	AS	$400.57	$400.57	$400.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00