Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,333.84 / $8,952.00 / $32,689.00	Facility		$2,333.84	$8,952.00	$32,689.00
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 $1,865.70 / $2,449.83 / $3,001.36	Professional		$1,865.70	$2,449.83	$3,001.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.21 / $2,103.14 / $3,243.30	Facility		$1,259.21	$2,103.14	$3,243.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,554.23 / $2,267.94 / $2,371.80	Facility		$1,554.23	$2,267.94	$2,371.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,310.01 / $2,376.51 / $3,243.30	Facility		$1,310.01	$2,376.51	$3,243.30
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $450.84 / $450.84 / $450.84	Facility	80	$450.84	$450.84	$450.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $383.21 / $383.21 / $383.21	Facility	AS	$383.21	$383.21	$383.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,086.66 / $10,878.03 / $12,827.23	Facility		$6,086.66	$10,878.03	$12,827.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00