Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,412.25 / $9,338.46 / $30,593.00	Facility		$2,412.25	$9,338.46	$30,593.00
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 $1,910.04 / $2,508.06 / $3,079.92	Professional		$1,910.04	$2,508.06	$3,079.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,332.99 / $2,275.67 / $3,367.33	Facility		$1,332.99	$2,275.67	$3,367.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,719.98 / $2,326.78 / $2,430.76	Facility		$1,719.98	$2,326.78	$2,430.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,414.93 / $2,487.42 / $3,367.33	Facility		$1,414.93	$2,487.42	$3,367.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $464.20 / $464.20 / $464.20	Facility	80	$464.20	$464.20	$464.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $394.57 / $394.57 / $394.57	Facility	AS	$394.57	$394.57	$394.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,308.45 / $6,308.45 / $6,308.45	Facility		$6,308.45	$6,308.45	$6,308.45
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