Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,525.67 / $7,920.26 / $23,379.77	Facility		$2,525.67	$7,920.26	$23,379.77
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 $2,003.85 / $2,631.24 / $3,212.28	Professional		$2,003.85	$2,631.24	$3,212.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,391.94 / $2,425.58 / $3,543.20	Facility		$1,391.94	$2,425.58	$3,543.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,813.48 / $2,441.05 / $2,571.46	Facility		$1,813.48	$2,441.05	$2,571.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,484.72 / $2,644.66 / $3,543.20	Facility		$1,484.72	$2,644.66	$3,543.20
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $491.05 / $491.05 / $491.05	Facility	80	$491.05	$491.05	$491.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $417.39 / $417.39 / $417.39	Facility	AS	$417.39	$417.39	$417.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,316.79 / $11,200.37 / $25,598.08	Facility		$5,316.79	$11,200.37	$25,598.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00