Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,764.92 / $5,579.00 / $11,834.06	Facility		$1,764.92	$5,579.00	$11,834.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,704.82 / $1,996.89 / $2,395.69	Professional		$1,704.82	$1,996.89	$2,395.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.92 / $1,735.99 / $2,538.00	Facility		$1,285.92	$1,735.99	$2,538.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,269.39 / $1,755.40 / $1,856.57	Facility		$1,269.39	$1,755.40	$1,856.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,285.92 / $1,838.87 / $2,358.92	Facility		$1,285.92	$1,838.87	$2,358.92
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $349.72 / $349.72 / $349.72	Facility	80	$349.72	$349.72	$349.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $297.26 / $297.26 / $297.26	Facility	AS	$297.26	$297.26	$297.26
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 / $20,708.00 / $26,830.35	Facility		$3,028.00	$20,708.00	$26,830.35