Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,080.58 / $2,747.00 / $7,920.26	Facility		$2,080.58	$2,747.00	$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 $1,652.97 / $2,170.50 / $2,651.35	Professional		$1,652.97	$2,170.50	$2,651.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.49 / $1,863.35 / $2,889.72	Facility		$1,174.49	$1,863.35	$2,889.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,405.63 / $2,013.62 / $2,112.51	Facility		$1,405.63	$2,013.62	$2,112.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.27 / $2,126.48 / $2,889.72	Facility		$1,221.27	$2,126.48	$2,889.72
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $402.40 / $402.40 / $402.40	Facility	80	$402.40	$402.40	$402.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $342.04 / $342.04 / $342.04	Facility	AS	$342.04	$342.04	$342.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,444.29 / $5,444.29 / $5,444.29	Facility		$5,444.29	$5,444.29	$5,444.29
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