Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.63 / $2,906.62 / $15,978.56	Facility		$1,927.63	$2,906.62	$15,978.56
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 $2,197.87 / $2,575.79 / $3,088.57	Professional		$2,197.87	$2,575.79	$3,088.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,523.01 / $2,140.56 / $2,851.75	Facility		$1,523.01	$2,140.56	$2,851.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,669.10 / $2,269.29 / $2,452.19	Facility		$1,669.10	$2,269.29	$2,452.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,523.01 / $2,145.19 / $3,105.46	Facility		$1,523.01	$2,145.19	$3,105.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $388.89 / $388.89 / $388.89	Facility	AS	$388.89	$388.89	$388.89
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