Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,767.09 / $3,371.86 / $7,920.26	Facility		$2,767.09	$3,371.86	$7,920.26
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 $2,195.21 / $2,882.50 / $3,514.90	Professional		$2,195.21	$2,882.50	$3,514.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,379.85 / $2,474.42 / $3,850.50	Facility		$1,379.85	$2,474.42	$3,850.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,854.73 / $2,674.15 / $2,814.67	Facility		$1,854.73	$2,674.15	$2,814.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,398.58 / $2,816.49 / $3,850.50	Facility		$1,398.58	$2,816.49	$3,850.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $537.69 / $537.69 / $537.69	Facility	80	$537.69	$537.69	$537.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $457.04 / $457.04 / $457.04	Facility	AS	$457.04	$457.04	$457.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,778.97 / $10,527.37 / $12,413.74	Facility		$6,778.97	$10,527.37	$12,413.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00