Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,408.44 / $2,964.99 / $7,920.26	Facility		$2,408.44	$2,964.99	$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 $1,931.89 / $2,536.75 / $3,105.96	Professional		$1,931.89	$2,536.75	$3,105.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,310.63 / $2,177.76 / $3,321.05	Facility		$1,310.63	$2,177.76	$3,321.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,615.15 / $2,331.60 / $2,471.63	Facility		$1,615.15	$2,331.60	$2,471.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,376.16 / $2,444.04 / $3,321.05	Facility		$1,376.16	$2,444.04	$3,321.05
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $467.80 / $467.80 / $467.80	Facility	80	$467.80	$467.80	$467.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,296.06 / $6,296.06 / $6,296.06	Facility		$6,296.06	$6,296.06	$6,296.06
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