Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$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 $3,006.82 / $3,534.51 / $4,225.34	Professional		$3,006.82	$3,534.51	$4,225.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,143.88 / $2,943.76 / $4,016.25	Facility		$2,143.88	$2,943.76	$4,016.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,363.88 / $3,180.83 / $3,407.62	Facility		$2,363.88	$3,180.83	$3,407.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,143.88 / $2,967.98 / $4,325.68	Facility		$2,143.88	$2,967.98	$4,325.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $541.89 / $541.89 / $541.89	Facility	AS	$541.89	$541.89	$541.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,076.07 / $21,418.17 / $26,781.36	Facility		$14,076.07	$21,418.17	$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