Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,774.02 / $4,619.93 / $7,920.26	Facility		$3,774.02	$4,619.93	$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 $3,012.39 / $3,955.54 / $4,829.89	Professional		$3,012.39	$3,955.54	$4,829.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,907.86 / $3,395.74 / $5,239.82	Facility		$1,907.86	$3,395.74	$5,239.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,540.83 / $3,662.89 / $3,860.54	Facility		$2,540.83	$3,662.89	$3,860.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,998.96 / $3,838.95 / $5,239.82	Facility		$1,998.96	$3,838.95	$5,239.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $735.16 / $735.16 / $735.16	Facility	80	$735.16	$735.16	$735.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,893.02 / $9,893.02 / $9,893.02	Facility		$9,893.02	$9,893.02	$9,893.02
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