Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,262.46 / $2,758.41 / $7,920.26	Facility		$2,262.46	$2,758.41	$7,920.26
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 $1,792.94 / $2,354.29 / $2,875.75	Professional		$1,792.94	$2,354.29	$2,875.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,246.03 / $2,244.77 / $3,295.29	Facility		$1,246.03	$2,244.77	$3,295.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,630.83 / $2,184.13 / $2,302.79	Facility		$1,630.83	$2,184.13	$2,302.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,327.79 / $2,441.46 / $3,184.99	Facility		$1,327.79	$2,441.46	$3,184.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $439.79 / $439.79 / $439.79	Facility	80	$439.79	$439.79	$439.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $373.82 / $373.82 / $373.82	Facility	AS	$373.82	$373.82	$373.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,985.50 / $5,985.50 / $5,985.50	Facility		$5,985.50	$5,985.50	$5,985.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00