Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $7,920.26	Facility		$988.00	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.11 / $1,173.15 / $2,172.46	Professional		$931.11	$1,173.15	$2,172.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $1,264.38 / $1,961.80	Facility		$609.29	$1,264.38	$1,961.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.31 / $1,494.77 / $1,819.05	Facility		$866.31	$1,494.77	$1,819.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $1,264.38 / $2,320.30	Facility		$609.29	$1,264.38	$2,320.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $295.63 / $295.63 / $295.63	Facility	AS	$295.63	$295.63	$295.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,439.04 / $22,566.02 / $25,992.15	Facility		$17,439.04	$22,566.02	$25,992.15
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