Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,700.57 / $7,920.26	Facility		$2,747.00	$4,700.57	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,510.07 / $4,143.43 / $4,932.53	Professional		$3,510.07	$4,143.43	$4,932.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.64 / $3,469.32 / $4,734.50	Facility		$2,578.64	$3,469.32	$4,734.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,753.41 / $3,721.06 / $3,930.22	Facility		$2,753.41	$3,721.06	$3,930.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,578.64 / $3,532.74 / $4,996.72	Facility		$2,578.64	$3,532.74	$4,996.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $634.05 / $634.05 / $634.05	Facility	AS	$634.05	$634.05	$634.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,079.32 / $10,079.32 / $10,079.32	Facility		$10,079.32	$10,079.32	$10,079.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,414.01 / $8,571.00 / $36,803.00	Facility		$2,414.01	$8,571.00	$36,803.00