Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,553.41 / $7,920.26 / $13,746.00	Facility		$1,553.41	$7,920.26	$13,746.00
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 $1,458.97 / $1,708.92 / $2,050.21	Professional		$1,458.97	$1,708.92	$2,050.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,474.53 / $1,902.30	Facility		$1,080.00	$1,474.53	$1,902.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,084.80 / $1,468.51 / $1,578.52	Facility		$1,084.80	$1,468.51	$1,578.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,094.47 / $1,551.40 / $3,397.00	Facility		$1,094.47	$1,551.40	$3,397.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $295.63 / $295.63 / $295.63	Facility	80	$295.63	$295.63	$295.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $251.29 / $251.29 / $251.29	Facility	AS	$251.29	$251.29	$251.29
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