Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,023.55 / $8,878.56 / $32,689.00	Facility		$2,023.55	$8,878.56	$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 $1,869.77 / $2,196.13 / $2,627.50	Professional		$1,869.77	$2,196.13	$2,627.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,421.01 / $1,889.91 / $2,510.05	Facility		$1,421.01	$1,889.91	$2,510.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,436.06 / $1,976.37 / $2,038.81	Facility		$1,436.06	$1,976.37	$2,038.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,421.01 / $2,032.04 / $3,506.03	Facility		$1,421.01	$2,032.04	$3,506.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $385.18 / $385.18 / $385.18	Facility	80	$385.18	$385.18	$385.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $327.41 / $327.41 / $327.41	Facility	AS	$327.41	$327.41	$327.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
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