Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.69 / $4,684.68 / $9,105.36	Facility		$1,457.69	$4,684.68	$9,105.36
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 $1,330.34 / $1,577.11 / $1,869.46	Professional		$1,330.34	$1,577.11	$1,869.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,011.68 / $1,386.00 / $1,842.75	Facility		$1,011.68	$1,386.00	$1,842.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,077.53 / $1,419.29 / $1,514.87	Facility		$1,077.53	$1,419.29	$1,514.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,011.68 / $1,426.92 / $1,932.44	Facility		$1,011.68	$1,426.92	$1,932.44
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $286.64 / $286.64 / $286.64	Facility	80	$286.64	$286.64	$286.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $243.64 / $243.64 / $243.64	Facility	AS	$243.64	$243.64	$243.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,955.44 / $3,955.44 / $3,955.44	Facility		$3,955.44	$3,955.44	$3,955.44
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