Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,751.31 / $7,920.26	Facility		$2,747.00	$4,751.31	$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 $3,569.58 / $4,196.97 / $5,016.16	Professional		$3,569.58	$4,196.97	$5,016.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,557.12 / $3,494.94 / $4,731.21	Facility		$2,557.12	$3,494.94	$4,731.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,794.60 / $3,777.00 / $4,044.12	Facility		$2,794.60	$3,777.00	$4,044.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,557.12 / $3,503.25 / $5,135.72	Facility		$2,557.12	$3,503.25	$5,135.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $642.79 / $642.79 / $642.79	Facility	AS	$642.79	$642.79	$642.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,233.70 / $10,233.70 / $10,233.70	Facility		$10,233.70	$10,233.70	$10,233.70
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