Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,025.40 / $14,614.14 / $59,252.00	Facility		$2,025.40	$14,614.14	$59,252.00
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 $1,474.26 / $1,935.84 / $2,370.54	Professional		$1,474.26	$1,935.84	$2,370.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,014.44 / $1,661.90 / $2,557.42	Facility		$1,014.44	$1,661.90	$2,557.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,218.15 / $1,785.55 / $1,884.04	Facility		$1,218.15	$1,785.55	$1,884.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,090.69 / $1,877.93 / $2,557.42	Facility		$1,090.69	$1,877.93	$2,557.42
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $358.72 / $358.72 / $358.72	Facility	80	$358.72	$358.72	$358.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $304.91 / $304.91 / $304.91	Facility	AS	$304.91	$304.91	$304.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,817.87 / $4,817.87 / $4,817.87	Facility		$4,817.87	$4,817.87	$4,817.87
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