Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.50 / $3,925.18 / $7,920.26	Facility		$1,235.50	$3,925.18	$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 $1,042.85 / $1,221.53 / $1,465.49	Professional		$1,042.85	$1,221.53	$1,465.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $721.22 / $1,015.56 / $1,385.10	Facility		$721.22	$1,015.56	$1,385.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $785.86 / $1,074.20 / $1,134.31	Facility		$785.86	$1,074.20	$1,134.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $1,087.83 / $2,919.00	Facility		$736.00	$1,087.83	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $182.05 / $182.05 / $182.05	Facility	AS	$182.05	$182.05	$182.05
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