Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,385.04 / $2,794.12 / $3,351.59	Professional		$2,385.04	$2,794.12	$3,351.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,735.09 / $2,326.86 / $3,124.60	Facility		$1,735.09	$2,326.86	$3,124.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,786.84 / $2,461.58 / $2,596.92	Facility		$1,786.84	$2,461.58	$2,596.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,766.45 / $2,564.86 / $7,090.00	Facility		$1,766.45	$2,564.86	$7,090.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $486.94 / $486.94 / $486.94	Facility	80	$486.94	$486.94	$486.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $413.90 / $413.90 / $413.90	Facility	AS	$413.90	$413.90	$413.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00