Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.14 / $7,920.26 / $20,400.00	Facility		$2,259.14	$7,920.26	$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 $2,022.08 / $2,368.51 / $2,841.53	Professional		$2,022.08	$2,368.51	$2,841.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,517.51 / $2,055.51 / $2,805.00	Facility		$1,517.51	$2,055.51	$2,805.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,638.09 / $2,130.08 / $2,328.32	Facility		$1,638.09	$2,130.08	$2,328.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,517.51 / $2,092.51 / $2,836.02	Facility		$1,517.51	$2,092.51	$2,836.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $376.22 / $376.22 / $376.22	Facility	AS	$376.22	$376.22	$376.22
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,291.08 / $33,904.28 / $40,172.04	Facility	50	$25,291.08	$33,904.28	$40,172.04
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