Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.48 / $9,972.00 / $16,835.39	Facility		$1,847.48	$9,972.00	$16,835.39
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 $1,514.91 / $1,774.45 / $2,128.83	Professional		$1,514.91	$1,774.45	$2,128.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,103.58 / $1,470.02 / $2,013.65	Facility		$1,103.58	$1,470.02	$2,013.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,151.66 / $1,573.16 / $1,696.44	Facility		$1,151.66	$1,573.16	$1,696.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,114.02 / $1,658.79 / $7,090.00	Facility		$1,114.02	$1,658.79	$7,090.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $317.08 / $317.08 / $317.08	Facility	80	$317.08	$317.08	$317.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $269.52 / $269.52 / $269.52	Facility	AS	$269.52	$269.52	$269.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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