Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $32,689.00	Facility		$1,924.00	$7,920.26	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,853.08 / $2,171.34 / $2,604.05	Professional		$1,853.08	$2,171.34	$2,604.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,335.69 / $1,808.54 / $2,427.60	Facility		$1,335.69	$1,808.54	$2,427.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,392.94 / $1,913.52 / $2,018.71	Facility		$1,392.94	$1,913.52	$2,018.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.50 / $1,996.64 / $3,471.47	Facility		$1,348.50	$1,996.64	$3,471.47
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $380.43 / $380.43 / $380.43	Facility	80	$380.43	$380.43	$380.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $323.36 / $323.36 / $323.36	Facility	AS	$323.36	$323.36	$323.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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