Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,245.19 / $7,920.26 / $15,978.56	Facility		$2,245.19	$7,920.26	$15,978.56
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 $2,093.26 / $2,454.46 / $2,941.56	Professional		$2,093.26	$2,454.46	$2,941.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,044.47 / $2,738.70	Facility		$1,500.00	$2,044.47	$2,738.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,570.26 / $2,131.37 / $2,284.69	Facility		$1,570.26	$2,131.37	$2,284.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,499.30 / $2,123.28 / $2,906.38	Facility		$1,499.30	$2,123.28	$2,906.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $430.79 / $430.79 / $430.79	Facility	80	$430.79	$430.79	$430.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $366.17 / $366.17 / $366.17	Facility	AS	$366.17	$366.17	$366.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
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