Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,169.17 / $2,747.00 / $7,920.26	Facility		$2,169.17	$2,747.00	$7,920.26
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 $2,039.50 / $2,391.80 / $2,866.01	Professional		$2,039.50	$2,391.80	$2,866.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,450.90 / $1,992.06 / $2,662.20	Facility		$1,450.90	$1,992.06	$2,662.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,551.37 / $2,107.14 / $2,271.30	Facility		$1,551.37	$2,107.14	$2,271.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,450.90 / $2,008.71 / $2,884.93	Facility		$1,450.90	$2,008.71	$2,884.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $362.68 / $362.68 / $362.68	Facility	AS	$362.68	$362.68	$362.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,692.69 / $5,692.69 / $5,692.69	Facility		$5,692.69	$5,692.69	$5,692.69
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