Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.56 / $7,920.26 / $20,400.00	Facility		$951.56	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,970.25 / $2,311.40 / $2,768.71	Professional		$1,970.25	$2,311.40	$2,768.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,310.69 / $1,965.85 / $2,594.19	Facility		$1,310.69	$1,965.85	$2,594.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,490.32 / $2,042.83 / $2,152.04	Facility		$1,490.32	$2,042.83	$2,152.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,374.72 / $2,044.14 / $2,735.62	Facility		$1,374.72	$2,044.14	$2,735.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $344.77 / $344.77 / $344.77	Facility	AS	$344.77	$344.77	$344.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,212.56 / $21,418.17 / $26,781.36	Facility		$7,212.56	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00