Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.64 / $4,283.46 / $8,728.00	Facility		$1,416.64	$4,283.46	$8,728.00
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 $1,744.78 / $2,068.44 / $2,451.86	Professional		$1,744.78	$2,068.44	$2,451.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,332.43 / $1,825.43 / $2,379.15	Facility		$1,332.43	$1,825.43	$2,379.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,397.78 / $1,861.45 / $1,966.45	Facility		$1,397.78	$1,861.45	$1,966.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,332.43 / $1,862.31 / $2,515.09	Facility		$1,332.43	$1,862.31	$2,515.09
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $372.85 / $372.85 / $372.85	Facility	80	$372.85	$372.85	$372.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $316.92 / $316.92 / $316.92	Facility	AS	$316.92	$316.92	$316.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,103.55 / $5,103.55 / $5,103.55	Facility		$5,103.55	$5,103.55	$5,103.55
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00