Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.78 / $8,952.00 / $23,774.46	Facility		$1,750.78	$8,952.00	$23,774.46
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 $1,654.40 / $1,937.84 / $2,324.85	Professional		$1,654.40	$1,937.84	$2,324.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,052.10 / $1,610.76 / $2,151.35	Facility		$1,052.10	$1,610.76	$2,151.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,231.59 / $1,692.42 / $1,794.93	Facility		$1,231.59	$1,692.42	$1,794.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.86 / $1,737.88 / $3,397.00	Facility		$1,148.86	$1,737.88	$3,397.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $337.39 / $337.39 / $337.39	Facility	80	$337.39	$337.39	$337.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $286.77 / $286.77 / $286.77	Facility	AS	$286.77	$286.77	$286.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $48,325.07	Facility		$3,028.00	$20,708.00	$48,325.07