Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.36 / $4,962.67 / $15,341.00	Facility		$1,502.36	$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 $1,426.19 / $1,670.53 / $2,004.16	Professional		$1,426.19	$1,670.53	$2,004.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $846.98 / $1,255.68 / $1,696.52	Facility		$846.98	$1,255.68	$1,696.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $924.96 / $1,334.16 / $1,555.74	Facility		$924.96	$1,334.16	$1,555.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.97 / $1,388.80 / $2,919.00	Facility		$891.97	$1,388.80	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $245.28 / $245.28 / $245.28	Facility	AS	$245.28	$245.28	$245.28
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,269.24 / $9,213.46 / $10,841.87	Facility	50	$7,269.24	$9,213.46	$10,841.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $8,090.00 / $12,786.00	Facility		$1,981.00	$8,090.00	$12,786.00