Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.85 / $7,920.26 / $59,023.00	Facility		$1,491.85	$7,920.26	$59,023.00
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 $1,714.45 / $2,251.23 / $2,753.02	Professional		$1,714.45	$2,251.23	$2,753.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,183.31 / $1,932.66 / $2,990.61	Facility		$1,183.31	$1,932.66	$2,990.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,426.05 / $2,087.71 / $2,191.57	Facility		$1,426.05	$2,087.71	$2,191.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,267.18 / $2,198.76 / $2,990.61	Facility		$1,267.18	$2,198.76	$2,990.61
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $418.20 / $418.20 / $418.20	Facility	80	$418.20	$418.20	$418.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $355.47 / $355.47 / $355.47	Facility	AS	$355.47	$355.47	$355.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,630.59 / $5,630.59 / $5,630.59	Facility		$5,630.59	$5,630.59	$5,630.59
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