Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,272.24 / $8,369.76 / $30,593.00	Facility		$3,272.24	$8,369.76	$30,593.00
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 $2,593.66 / $3,405.71 / $4,160.09	Professional		$2,593.66	$3,405.71	$4,160.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,829.10 / $3,110.91 / $4,576.17	Facility		$1,829.10	$3,110.91	$4,576.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,342.56 / $3,159.55 / $3,307.79	Facility		$2,342.56	$3,159.55	$3,307.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,829.10 / $3,397.80 / $4,576.17	Facility		$1,829.10	$3,397.80	$4,576.17
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $632.51 / $632.51 / $632.51	Facility	80	$632.51	$632.51	$632.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $537.63 / $537.63 / $537.63	Facility	AS	$537.63	$537.63	$537.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,590.53 / $8,590.53 / $8,590.53	Facility		$8,590.53	$8,590.53	$8,590.53
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