Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,674.96 / $3,276.80 / $7,920.26	Facility		$2,674.96	$3,276.80	$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 $2,137.34 / $2,806.52 / $3,433.45	Professional		$2,137.34	$2,806.52	$3,433.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.16 / $2,409.32 / $3,713.51	Facility		$1,338.16	$2,409.32	$3,713.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,774.80 / $2,592.90 / $2,733.60	Facility		$1,774.80	$2,592.90	$2,733.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,399.13 / $2,709.29 / $3,713.51	Facility		$1,399.13	$2,709.29	$3,713.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $520.99 / $520.99 / $520.99	Facility	80	$520.99	$520.99	$520.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $442.84 / $442.84 / $442.84	Facility	AS	$442.84	$442.84	$442.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,945.06 / $17,182.96 / $20,261.91	Facility		$7,945.06	$17,182.96	$20,261.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00