Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,822.49 / $2,747.00 / $9,781.18	Facility		$1,822.49	$2,747.00	$9,781.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,736.98 / $2,034.57 / $2,440.90	Professional		$1,736.98	$2,034.57	$2,440.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,158.16 / $1,666.29 / $2,225.30	Facility		$1,158.16	$1,666.29	$2,225.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,297.01 / $1,756.71 / $1,915.53	Facility		$1,297.01	$1,756.71	$1,915.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,158.16 / $1,690.98 / $2,437.00	Facility		$1,158.16	$1,690.98	$2,437.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $304.58 / $304.58 / $304.58	Facility	AS	$304.58	$304.58	$304.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,750.42 / $4,750.42 / $4,750.42	Facility		$4,750.42	$4,750.42	$4,750.42
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