Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,574.37 / $4,358.59 / $18,360.00	Facility		$3,574.37	$4,358.59	$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 $2,836.54 / $3,724.63 / $4,545.35	Professional		$2,836.54	$3,724.63	$4,545.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,926.94 / $3,218.56 / $5,014.89	Facility		$1,926.94	$3,218.56	$5,014.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,558.64 / $3,455.41 / $3,607.28	Facility		$2,558.64	$3,455.41	$3,607.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,983.44 / $3,674.52 / $5,014.89	Facility		$1,983.44	$3,674.52	$5,014.89
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $688.01 / $688.01 / $688.01	Facility	80	$688.01	$688.01	$688.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $584.80 / $584.80 / $584.80	Facility	AS	$584.80	$584.80	$584.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,376.62 / $9,376.62 / $9,376.62	Facility		$9,376.62	$9,376.62	$9,376.62
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