Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $7,943.28	Facility		$1,819.70	$2,344.23	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $1,862.09	Professional		$794.33	$1,621.81	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,951.21	Facility		$933.25	$1,380.38	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $1,778.28	Facility		$1,318.26	$1,737.80	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,187.76	Facility		$891.25	$1,348.96	$2,187.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	AS	$147.91	$147.91	$147.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68