Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.66 / $11,652.00 / $23,856.49	Facility		$898.66	$11,652.00	$23,856.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.04 / $2,183.98 / $2,618.04	Professional		$1,863.04	$2,183.98	$2,618.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,246.41 / $1,834.30 / $2,395.98	Facility		$1,246.41	$1,834.30	$2,395.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,365.32 / $1,888.06 / $2,030.77	Facility		$1,365.32	$1,888.06	$2,030.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,301.05 / $1,899.36 / $2,580.31	Facility		$1,301.05	$1,899.36	$2,580.31
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 $19,457.32 / $39,875.19 / $51,188.76	Facility		$19,457.32	$39,875.19	$51,188.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00