Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.36 / $2,965.93 / $9,089.52	Facility		$1,707.36	$2,965.93	$9,089.52
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 $1,363.04 / $1,789.80 / $2,192.21	Professional		$1,363.04	$1,789.80	$2,192.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $953.44 / $1,536.36 / $2,378.79	Facility		$953.44	$1,536.36	$2,378.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,127.70 / $1,646.67 / $1,732.62	Facility		$1,127.70	$1,646.67	$1,732.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $997.40 / $1,737.67 / $2,378.79	Facility		$997.40	$1,737.67	$2,378.79
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $329.55 / $329.55 / $329.55	Facility	80	$329.55	$329.55	$329.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $280.12 / $280.12 / $280.12	Facility	AS	$280.12	$280.12	$280.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,037.81 / $4,468.26 / $9,811.19	Facility		$2,037.81	$4,468.26	$9,811.19
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