Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,766.07 / $7,920.26	Facility		$2,747.00	$3,766.07	$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 $2,832.15 / $3,328.15 / $3,979.89	Professional		$2,832.15	$3,328.15	$3,979.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,036.78 / $2,771.40 / $3,736.60	Facility		$2,036.78	$2,771.40	$3,736.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,192.36 / $2,980.16 / $3,181.16	Facility		$2,192.36	$2,980.16	$3,181.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,036.78 / $2,790.39 / $4,047.66	Facility		$2,036.78	$2,790.39	$4,047.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $506.51 / $506.51 / $506.51	Facility	AS	$506.51	$506.51	$506.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,924.49 / $8,042.18 / $18,894.75	Facility		$3,924.49	$8,042.18	$18,894.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00