Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,441.87 / $4,186.79 / $18,360.00	Facility		$3,441.87	$4,186.79	$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 $2,721.61 / $3,573.73 / $4,367.60	Professional		$2,721.61	$3,573.73	$4,367.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,845.49 / $3,103.78 / $4,815.89	Facility		$1,845.49	$3,103.78	$4,815.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,461.26 / $3,315.43 / $3,475.96	Facility		$2,461.26	$3,315.43	$3,475.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,904.94 / $3,528.80 / $4,815.89	Facility		$1,904.94	$3,528.80	$4,815.89
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $663.60 / $663.60 / $663.60	Facility	80	$663.60	$663.60	$663.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $564.05 / $564.05 / $564.05	Facility	AS	$564.05	$564.05	$564.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,034.16 / $9,034.16 / $9,034.16	Facility		$9,034.16	$9,034.16	$9,034.16
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