Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$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 $4,177.42 / $4,916.68 / $5,870.33	Professional		$4,177.42	$4,916.68	$5,870.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,021.92 / $4,094.48 / $5,571.75	Facility		$3,021.92	$4,094.48	$5,571.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,272.80 / $4,424.70 / $4,724.17	Facility		$3,272.80	$4,424.70	$4,724.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,021.92 / $4,140.03 / $5,998.12	Facility		$3,021.92	$4,140.03	$5,998.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $753.43 / $753.43 / $753.43	Facility	AS	$753.43	$753.43	$753.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,004.71 / $12,004.71 / $12,004.71	Facility		$12,004.71	$12,004.71	$12,004.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00