Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,988.23 / $4,881.68 / $7,920.26	Facility		$3,988.23	$4,881.68	$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 $3,183.60 / $4,180.35 / $5,103.16	Professional		$3,183.60	$4,180.35	$5,103.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,965.58 / $3,588.30 / $5,538.79	Facility		$1,965.58	$3,588.30	$5,538.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.92 / $3,875.95 / $4,080.30	Facility		$2,691.92	$3,875.95	$4,080.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,998.54 / $4,050.22 / $5,538.79	Facility		$1,998.54	$4,050.22	$5,538.79
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $777.56 / $777.56 / $777.56	Facility	80	$777.56	$777.56	$777.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $660.93 / $660.93 / $660.93	Facility	AS	$660.93	$660.93	$660.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,471.51 / $10,471.51 / $10,471.51	Facility		$10,471.51	$10,471.51	$10,471.51
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