Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,945.96 / $7,920.26 / $23,856.49	Facility		$2,945.96	$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 $2,758.14 / $3,242.99 / $3,875.88	Professional		$2,758.14	$3,242.99	$3,875.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,919.34 / $2,700.72 / $3,659.25	Facility		$1,919.34	$2,700.72	$3,659.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,156.98 / $2,910.48 / $3,108.80	Facility		$2,156.98	$2,910.48	$3,108.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,919.34 / $2,719.53 / $3,955.84	Facility		$1,919.34	$2,719.53	$3,955.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $494.93 / $494.93 / $494.93	Facility	AS	$494.93	$494.93	$494.93
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