Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,562.39 / $3,925.18 / $15,341.00	Facility		$1,562.39	$3,925.18	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,424.08 / $1,770.65 / $2,001.20	Professional		$1,424.08	$1,770.65	$2,001.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,064.40 / $1,522.09 / $2,288.46	Facility		$1,064.40	$1,522.09	$2,288.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,145.83 / $1,497.18 / $1,584.55	Facility		$1,145.83	$1,497.18	$1,584.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,064.40 / $1,670.79 / $2,288.46	Facility		$1,064.40	$1,670.79	$2,288.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $249.21 / $249.21 / $249.21	Facility	AS	$249.21	$249.21	$249.21
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 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00