Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,334.59 / $18,360.00 / $58,531.64	Facility		$3,334.59	$18,360.00	$58,531.64
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 $2,721.22 / $3,573.21 / $4,367.67	Professional		$2,721.22	$3,573.21	$4,367.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,861.96 / $3,218.90 / $4,732.59	Facility		$1,861.96	$3,218.90	$4,732.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,433.64 / $3,307.12 / $3,490.03	Facility		$2,433.64	$3,307.12	$3,490.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,887.21 / $3,521.70 / $4,732.59	Facility		$1,887.21	$3,521.70	$4,732.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $665.53 / $665.53 / $665.53	Facility	80	$665.53	$665.53	$665.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $565.70 / $565.70 / $565.70	Facility	AS	$565.70	$565.70	$565.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,443.51 / $11,200.37 / $35,837.29	Facility		$7,443.51	$11,200.37	$35,837.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,153.31 / $18,628.00 / $26,255.00	Facility		$2,153.31	$18,628.00	$26,255.00