Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,298.33 / $7,920.26	Facility		$2,747.00	$4,298.33	$7,920.26
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 $3,222.79 / $3,790.00 / $4,528.84	Professional		$3,222.79	$3,790.00	$4,528.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,317.82 / $3,156.42 / $4,290.80	Facility		$2,317.82	$3,156.42	$4,290.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,534.42 / $3,410.75 / $3,647.48	Facility		$2,534.42	$3,410.75	$3,647.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,317.82 / $3,182.35 / $4,629.45	Facility		$2,317.82	$3,182.35	$4,629.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $580.77 / $580.77 / $580.77	Facility	AS	$580.77	$580.77	$580.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,924.49 / $9,282.57 / $18,894.75	Facility		$3,924.49	$9,282.57	$18,894.75
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