Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,899.55 / $4,748.89 / $18,360.00	Facility		$3,899.55	$4,748.89	$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 $3,086.03 / $4,052.24 / $4,952.18	Professional		$3,086.03	$4,052.24	$4,952.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,100.63 / $3,517.70 / $5,458.26	Facility		$2,100.63	$3,517.70	$5,458.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,793.14 / $3,759.34 / $3,927.54	Facility		$2,793.14	$3,759.34	$3,927.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,151.23 / $4,016.05 / $5,458.26	Facility		$2,151.23	$4,016.05	$5,458.26
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $748.78 / $748.78 / $748.78	Facility	80	$748.78	$748.78	$748.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $636.46 / $636.46 / $636.46	Facility	AS	$636.46	$636.46	$636.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,231.98 / $10,231.98 / $10,231.98	Facility		$10,231.98	$10,231.98	$10,231.98
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