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 $1,828.58 / $2,148.92 / $2,569.62	Professional		$1,828.58	$2,148.92	$2,569.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,298.93 / $1,796.07 / $2,507.50	Facility		$1,298.93	$1,796.07	$2,507.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,444.29 / $1,933.90 / $2,025.04	Facility		$1,444.29	$1,933.90	$2,025.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,321.71 / $1,955.22 / $3,065.00	Facility		$1,321.71	$1,955.22	$3,065.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $325.22 / $325.22 / $325.22	Facility	AS	$325.22	$325.22	$325.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00