Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,997.28 / $2,747.00 / $7,920.26	Facility		$1,997.28	$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 $1,591.60 / $2,089.92 / $2,556.31	Professional		$1,591.60	$2,089.92	$2,556.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,109.11 / $1,794.28 / $2,799.94	Facility		$1,109.11	$1,794.28	$2,799.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,394.19 / $1,938.86 / $2,022.06	Facility		$1,394.19	$1,938.86	$2,022.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.74 / $2,037.60 / $2,799.94	Facility		$1,167.74	$2,037.60	$2,799.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $384.54 / $384.54 / $384.54	Facility	80	$384.54	$384.54	$384.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $326.86 / $326.86 / $326.86	Facility	AS	$326.86	$326.86	$326.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,233.10 / $5,233.10 / $5,233.10	Facility		$5,233.10	$5,233.10	$5,233.10
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