Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,157.78 / $5,053.08 / $7,920.26	Facility		$4,157.78	$5,053.08	$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 $3,287.21 / $4,316.41 / $5,281.42	Professional		$3,287.21	$4,316.41	$5,281.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,228.44 / $3,705.58 / $5,809.07	Facility		$2,228.44	$3,705.58	$5,809.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,701.07 / $4,004.42 / $4,192.18	Facility		$2,701.07	$4,004.42	$4,192.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,298.79 / $4,220.26 / $5,809.07	Facility		$2,298.79	$4,220.26	$5,809.07
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $799.92 / $799.92 / $799.92	Facility	80	$799.92	$799.92	$799.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $679.93 / $679.93 / $679.93	Facility	AS	$679.93	$679.93	$679.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,908.05 / $10,908.05 / $10,908.05	Facility		$10,908.05	$10,908.05	$10,908.05
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