Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,589.48 / $3,172.10 / $7,920.26	Facility		$2,589.48	$3,172.10	$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 $2,070.40 / $2,718.62 / $3,326.51	Professional		$2,070.40	$2,718.62	$3,326.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,293.16 / $2,333.67 / $3,586.70	Facility		$1,293.16	$2,333.67	$3,586.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,714.53 / $2,511.16 / $2,641.14	Facility		$1,714.53	$2,511.16	$2,641.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,320.41 / $2,621.07 / $3,586.70	Facility		$1,320.41	$2,621.07	$3,586.70
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $503.13 / $503.13 / $503.13	Facility	80	$503.13	$503.13	$503.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $427.66 / $427.66 / $427.66	Facility	AS	$427.66	$427.66	$427.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,759.22 / $6,759.22 / $6,759.22	Facility		$6,759.22	$6,759.22	$6,759.22
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