Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.31 / $4,684.68 / $8,728.00	Facility		$1,711.31	$4,684.68	$8,728.00
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 $1,631.93 / $1,911.52 / $2,293.28	Professional		$1,631.93	$1,911.52	$2,293.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,160.27 / $1,587.82 / $2,190.90	Facility		$1,160.27	$1,587.82	$2,190.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,205.76 / $1,642.09 / $1,812.35	Facility		$1,205.76	$1,642.09	$1,812.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,160.27 / $1,627.54 / $2,293.69	Facility		$1,160.27	$1,627.54	$2,293.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $286.67 / $286.67 / $286.67	Facility	AS	$286.67	$286.67	$286.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31,944.49 / $46,009.31 / $61,906.83	Facility		$31,944.49	$46,009.31	$61,906.83
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