Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.18 / $4,362.75 / $29,579.88	Facility		$1,640.18	$4,362.75	$29,579.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,593.95 / $1,867.03 / $2,239.90	Professional		$1,593.95	$1,867.03	$2,239.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.57 / $1,624.32 / $2,072.30	Facility		$1,196.57	$1,624.32	$2,072.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,186.06 / $1,630.11 / $1,731.28	Facility		$1,186.06	$1,630.11	$1,731.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,196.57 / $1,718.10 / $8,647.00	Facility		$1,196.57	$1,718.10	$8,647.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $325.44 / $325.44 / $325.44	Facility	80	$325.44	$325.44	$325.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $276.62 / $276.62 / $276.62	Facility	AS	$276.62	$276.62	$276.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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