Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,450.61 / $7,920.26 / $23,856.49	Facility		$2,450.61	$7,920.26	$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 $2,304.01 / $2,702.19 / $3,237.72	Professional		$2,304.01	$2,702.19	$3,237.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,719.08 / $2,320.01 / $3,056.94	Facility		$1,719.08	$2,320.01	$3,056.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,767.46 / $2,431.80 / $2,568.78	Facility		$1,767.46	$2,431.80	$2,568.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,719.08 / $2,355.14 / $3,259.06	Facility		$1,719.08	$2,355.14	$3,259.06
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $480.26 / $480.26 / $480.26	Facility	80	$480.26	$480.26	$480.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $408.22 / $408.22 / $408.22	Facility	AS	$408.22	$408.22	$408.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
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