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 $4,144.85 / $4,879.02 / $5,824.56	Professional		$4,144.85	$4,879.02	$5,824.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,970.31 / $4,062.86 / $5,485.90	Facility		$2,970.31	$4,062.86	$5,485.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,207.39 / $4,309.43 / $4,634.39	Facility		$3,207.39	$4,309.43	$4,634.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,970.31 / $4,069.32 / $5,899.44	Facility		$2,970.31	$4,069.32	$5,899.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $734.10 / $734.10 / $734.10	Facility	AS	$734.10	$734.10	$734.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,754.52 / $11,754.52 / $11,754.52	Facility		$11,754.52	$11,754.52	$11,754.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $8,571.00 / $36,803.00	Facility		$2,446.00	$8,571.00	$36,803.00