Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,631.76 / $3,215.52 / $18,360.00	Facility		$2,631.76	$3,215.52	$18,360.00
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 $2,094.73 / $2,750.57 / $3,361.90	Professional		$2,094.73	$2,750.57	$3,361.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,430.83 / $2,361.58 / $3,670.93	Facility		$1,430.83	$2,361.58	$3,670.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,880.34 / $2,551.77 / $2,663.92	Facility		$1,880.34	$2,551.77	$2,663.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,539.96 / $2,706.11 / $3,670.93	Facility		$1,539.96	$2,706.11	$3,670.93
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $508.14 / $508.14 / $508.14	Facility	80	$508.14	$508.14	$508.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $431.92 / $431.92 / $431.92	Facility	AS	$431.92	$431.92	$431.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,890.51 / $6,890.51 / $6,890.51	Facility		$6,890.51	$6,890.51	$6,890.51
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