Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$4,962.67	$15,341.00
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 $1,481.75 / $1,735.83 / $2,082.23	Professional		$1,481.75	$1,735.83	$2,082.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $987.11 / $1,420.97 / $1,828.49	Facility		$987.11	$1,420.97	$1,828.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.61 / $1,436.58 / $1,627.43	Facility		$1,023.61	$1,436.58	$1,627.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.94 / $1,515.27 / $2,919.00	Facility		$999.94	$1,515.27	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $256.31 / $256.31 / $256.31	Facility	AS	$256.31	$256.31	$256.31
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