Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.29 / $14,614.14 / $23,856.49	Facility		$1,921.29	$14,614.14	$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 $1,785.37 / $2,095.07 / $2,508.90	Professional		$1,785.37	$2,095.07	$2,508.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,350.02 / $1,809.18 / $2,351.94	Facility		$1,350.02	$1,809.18	$2,351.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,343.52 / $1,857.91 / $1,945.68	Facility		$1,343.52	$1,857.91	$1,945.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,350.02 / $1,849.53 / $2,470.46	Facility		$1,350.02	$1,849.53	$2,470.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $366.81 / $366.81 / $366.81	Facility	80	$366.81	$366.81	$366.81
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $311.79 / $311.79 / $311.79	Facility	AS	$311.79	$311.79	$311.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,710.28 / $66,634.49 / $78,784.61	Facility		$27,710.28	$66,634.49	$78,784.61
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