Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,483.89 / $7,920.26 / $23,856.49	Facility		$2,483.89	$7,920.26	$23,856.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,094.87 / $2,457.00 / $2,943.82	Professional		$2,094.87	$2,457.00	$2,943.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,509.53 / $2,046.00 / $2,754.00	Facility		$1,509.53	$2,046.00	$2,754.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,582.86 / $2,143.16 / $2,286.71	Facility		$1,582.86	$2,143.16	$2,286.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,500.81 / $2,100.23 / $2,907.24	Facility		$1,500.81	$2,100.23	$2,907.24
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $430.92 / $430.92 / $430.92	Facility	80	$430.92	$430.92	$430.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $366.28 / $366.28 / $366.28	Facility	AS	$366.28	$366.28	$366.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,843.42 / $37,473.81 / $49,621.09	Facility		$15,843.42	$37,473.81	$49,621.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00