Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,307.25 / $14,374.00 / $42,921.00	Facility		$3,307.25	$14,374.00	$42,921.00
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 $2,698.91 / $3,543.92 / $4,323.10	Professional		$2,698.91	$3,543.92	$4,323.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,878.15 / $3,396.78 / $4,954.13	Facility		$1,878.15	$3,396.78	$4,954.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,440.42 / $3,287.77 / $3,478.20	Facility		$2,440.42	$3,287.77	$3,478.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,998.16 / $3,650.13 / $4,818.20	Facility		$1,998.16	$3,650.13	$4,818.20
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,585.16 / $2,585.16 / $2,585.16	Facility	62	$2,585.16	$2,585.16	$2,585.16
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $661.80 / $661.80 / $661.80	Facility	80	$661.80	$661.80	$661.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $562.53 / $562.53 / $562.53	Facility	AS	$562.53	$562.53	$562.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,621.76 / $31,052.21 / $38,534.69	Facility		$23,621.76	$31,052.21	$38,534.69
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