Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,076.33 / $11,266.00 / $30,593.00	Facility		$2,076.33	$11,266.00	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $3,229.54	Facility		$1,664.70	$1,664.70	$3,229.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,514.95 / $1,989.27 / $2,437.34	Professional		$1,514.95	$1,989.27	$2,437.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,082.81 / $1,799.24 / $2,627.78	Facility		$1,082.81	$1,799.24	$2,627.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,345.46 / $1,833.79 / $1,936.30	Facility		$1,345.46	$1,833.79	$1,936.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.64 / $1,949.48 / $2,627.78	Facility		$1,122.64	$1,949.48	$2,627.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $368.87 / $368.87 / $368.87	Facility	80	$368.87	$368.87	$368.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $313.54 / $313.54 / $313.54	Facility	AS	$313.54	$313.54	$313.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,453.20 / $11,142.10 / $14,336.76	Facility		$8,453.20	$11,142.10	$14,336.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,540.00 / $51,981.00	Facility		$3,340.00	$25,540.00	$51,981.00