Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.29 / $6,019.00 / $29,660.40	Facility		$1,478.29	$6,019.00	$29,660.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.44 / $1,638.03 / $1,965.16	Professional		$1,398.44	$1,638.03	$1,965.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,041.20 / $1,359.66 / $1,815.60	Facility		$1,041.20	$1,359.66	$1,815.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,037.31 / $1,429.11 / $1,516.21	Facility		$1,037.31	$1,429.11	$1,516.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,048.78 / $1,494.71 / $5,949.00	Facility		$1,048.78	$1,494.71	$5,949.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $284.70 / $284.70 / $284.70	Facility	80	$284.70	$284.70	$284.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $242.01 / $242.01 / $242.01	Facility	AS	$242.01	$242.01	$242.01
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