Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,096.31 / $16,342.00 / $21,998.55	Facility		$2,096.31	$16,342.00	$21,998.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.41 / $3,250.41 / $5,022.74	Facility		$3,250.41	$3,250.41	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,700.30 / $2,232.65 / $2,745.37	Professional		$1,700.30	$2,232.65	$2,745.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,166.48 / $2,012.73 / $2,972.10	Facility		$1,166.48	$2,012.73	$2,972.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,475.30 / $2,026.75 / $2,137.30	Facility		$1,475.30	$2,026.75	$2,137.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,272.44 / $2,334.40 / $3,675.41	Facility		$1,272.44	$2,334.40	$3,675.41
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $402.14 / $402.14 / $402.14	Facility	80	$402.14	$402.14	$402.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $341.82 / $341.82 / $341.82	Facility	AS	$341.82	$341.82	$341.82
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