Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.41 / $4,962.67 / $7,920.26	Facility		$1,312.41	$4,962.67	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.39 / $1,302.96 / $1,563.18	Professional		$1,112.39	$1,302.96	$1,563.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $737.19 / $1,029.59 / $1,397.40	Facility		$737.19	$1,029.59	$1,397.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $788.41 / $1,104.52 / $1,210.02	Facility		$788.41	$1,104.52	$1,210.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.36 / $1,139.68 / $2,919.00	Facility		$759.36	$1,139.68	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $193.19 / $193.19 / $193.19	Facility	AS	$193.19	$193.19	$193.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00