Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,265.37 / $2,769.68 / $7,920.26	Facility		$2,265.37	$2,769.68	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,805.68 / $2,371.01 / $2,898.52	Professional		$1,805.68	$2,371.01	$2,898.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.84 / $1,954.08 / $3,147.04	Facility		$1,216.84	$1,954.08	$3,147.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,516.66 / $2,199.63 / $2,308.15	Facility		$1,516.66	$2,199.63	$2,308.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,199.74 / $2,265.60 / $3,147.04	Facility		$1,199.74	$2,265.60	$3,147.04
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $440.04 / $440.04 / $440.04	Facility	80	$440.04	$440.04	$440.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $374.04 / $374.04 / $374.04	Facility	AS	$374.04	$374.04	$374.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,942.93 / $5,942.93 / $5,942.93	Facility		$5,942.93	$5,942.93	$5,942.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00