Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,970.37 / $7,920.26 / $20,539.52	Facility		$1,970.37	$7,920.26	$20,539.52
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 $1,837.71 / $2,152.55 / $2,582.44	Professional		$1,837.71	$2,152.55	$2,582.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,785.60 / $2,330.64	Facility		$1,350.00	$1,785.60	$2,330.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,346.03 / $1,830.44 / $1,997.27	Facility		$1,346.03	$1,830.44	$1,997.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,355.09 / $1,921.56 / $3,434.60	Facility		$1,355.09	$1,921.56	$3,434.60
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $377.60 / $377.60 / $377.60	Facility	80	$377.60	$377.60	$377.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $320.95 / $320.95 / $320.95	Facility	AS	$320.95	$320.95	$320.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $24,872.00	Facility		$3,028.00	$18,628.00	$24,872.00