Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,726.67 / $10,180.24 / $42,921.00	Facility		$2,726.67	$10,180.24	$42,921.00
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 $2,176.57 / $2,858.03 / $3,495.81	Professional		$2,176.57	$2,858.03	$3,495.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,498.36 / $2,453.58 / $3,796.81	Facility		$1,498.36	$2,453.58	$3,796.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,946.24 / $2,651.45 / $2,780.50	Facility		$1,946.24	$2,651.45	$2,780.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,609.73 / $2,792.25 / $3,796.81	Facility		$1,609.73	$2,792.25	$3,796.81
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $529.98 / $529.98 / $529.98	Facility	80	$529.98	$529.98	$529.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $450.48 / $450.48 / $450.48	Facility	AS	$450.48	$450.48	$450.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,144.26 / $7,144.26 / $7,144.26	Facility		$7,144.26	$7,144.26	$7,144.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00