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 $3,097.75 / $3,642.48 / $4,353.13	Professional		$3,097.75	$3,642.48	$4,353.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,217.83 / $3,033.66 / $4,129.30	Facility		$2,217.83	$3,033.66	$4,129.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,436.07 / $3,278.00 / $3,497.40	Facility		$2,436.07	$3,278.00	$3,497.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,217.83 / $3,063.09 / $4,447.53	Facility		$2,217.83	$3,063.09	$4,447.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $558.82 / $558.82 / $558.82	Facility	AS	$558.82	$558.82	$558.82
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