Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,369.16 / $10,180.24 / $42,921.00	Facility		$2,369.16	$10,180.24	$42,921.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $5,022.74	Facility		$2,341.30	$2,341.30	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,696.86 / $2,226.56 / $2,793.29	Professional		$1,696.86	$2,226.56	$2,793.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,075.89 / $1,929.90 / $2,973.03	Facility		$1,075.89	$1,929.90	$2,973.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,429.56 / $2,024.74 / $2,151.61	Facility		$1,429.56	$2,024.74	$2,151.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,107.04 / $2,246.75 / $3,652.36	Facility		$1,107.04	$2,246.75	$3,652.36
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $408.31 / $408.31 / $408.31	Facility	80	$408.31	$408.31	$408.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $347.06 / $347.06 / $347.06	Facility	AS	$347.06	$347.06	$347.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00