Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,352.06 / $13,042.97 / $59,023.00	Facility		$2,352.06	$13,042.97	$59,023.00
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 $1,902.32 / $2,497.92 / $3,068.52	Professional		$1,902.32	$2,497.92	$3,068.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,306.11 / $2,274.92 / $3,337.71	Facility		$1,306.11	$2,274.92	$3,337.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,655.54 / $2,277.33 / $2,389.89	Facility		$1,655.54	$2,277.33	$2,389.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,448.11 / $2,652.00 / $4,109.77	Facility		$1,448.11	$2,652.00	$4,109.77
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $450.71 / $450.71 / $450.71	Facility	80	$450.71	$450.71	$450.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $383.10 / $383.10 / $383.10	Facility	AS	$383.10	$383.10	$383.10
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