Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,440.65 / $5,116.62 / $20,400.00	Facility		$2,440.65	$5,116.62	$20,400.00
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 $2,306.78 / $2,704.40 / $3,241.61	Professional		$2,306.78	$2,704.40	$3,241.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,619.65 / $2,252.46 / $3,021.75	Facility		$1,619.65	$2,252.46	$3,021.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,776.66 / $2,396.59 / $2,585.53	Facility		$1,776.66	$2,396.59	$2,585.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,619.65 / $2,259.17 / $3,277.94	Facility		$1,619.65	$2,259.17	$3,277.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $410.08 / $410.08 / $410.08	Facility	AS	$410.08	$410.08	$410.08
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