Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,381.81 / $11,266.00 / $58,285.08	Facility		$2,381.81	$11,266.00	$58,285.08
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 $1,722.82 / $2,262.21 / $2,779.58	Professional		$1,722.82	$2,262.21	$2,779.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.24 / $2,055.44 / $3,043.37	Facility		$1,187.24	$2,055.44	$3,043.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,551.37 / $2,098.69 / $2,182.86	Facility		$1,551.37	$2,098.69	$2,182.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,270.26 / $2,243.28 / $3,043.37	Facility		$1,270.26	$2,243.28	$3,043.37
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $416.40 / $416.40 / $416.40	Facility	80	$416.40	$416.40	$416.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $353.94 / $353.94 / $353.94	Facility	AS	$353.94	$353.94	$353.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,687.39 / $5,687.39 / $5,687.39	Facility		$5,687.39	$5,687.39	$5,687.39
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