Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,003.93 / $7,920.26 / $20,400.00	Facility		$2,003.93	$7,920.26	$20,400.00
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 $1,691.31 / $1,981.07 / $2,376.71	Professional		$1,691.31	$1,981.07	$2,376.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,138.45 / $1,589.76 / $2,070.60	Facility		$1,138.45	$1,589.76	$2,070.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,182.18 / $1,634.80 / $1,834.46	Facility		$1,182.18	$1,634.80	$1,834.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,189.72 / $1,747.32 / $7,090.00	Facility		$1,189.72	$1,747.32	$7,090.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $347.54 / $347.54 / $347.54	Facility	80	$347.54	$347.54	$347.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $295.41 / $295.41 / $295.41	Facility	AS	$295.41	$295.41	$295.41
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00