Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.30 / $10,730.00 / $22,106.18	Facility		$1,751.30	$10,730.00	$22,106.18
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 $1,636.57 / $1,916.95 / $2,299.79	Professional		$1,636.57	$1,916.95	$2,299.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.59 / $1,587.20 / $2,058.40	Facility		$1,178.59	$1,587.20	$2,058.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,184.82 / $1,620.19 / $1,774.16	Facility		$1,184.82	$1,620.19	$1,774.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,190.05 / $1,699.66 / $3,050.93	Facility		$1,190.05	$1,699.66	$3,050.93
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $336.23 / $336.23 / $336.23	Facility	80	$336.23	$336.23	$336.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $285.80 / $285.80 / $285.80	Facility	AS	$285.80	$285.80	$285.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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