Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,341.30	Facility		$2,341.30	$2,341.30	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,449.37 / $1,903.15 / $2,330.40	Professional		$1,449.37	$1,903.15	$2,330.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,032.02 / $1,720.47 / $2,515.78	Facility		$1,032.02	$1,720.47	$2,515.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,290.22 / $1,765.59 / $1,850.54	Facility		$1,290.22	$1,765.59	$1,850.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.02 / $1,873.06 / $2,515.78	Facility		$1,071.02	$1,873.06	$2,515.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $352.42 / $352.42 / $352.42	Facility	80	$352.42	$352.42	$352.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $299.56 / $299.56 / $299.56	Facility	AS	$299.56	$299.56	$299.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00