Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,139.15 / $3,819.49 / $7,920.26	Facility		$3,139.15	$3,819.49	$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 $2,486.46 / $3,264.97 / $3,983.52	Professional		$2,486.46	$3,264.97	$3,983.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,682.57 / $2,802.94 / $4,393.82	Facility		$1,682.57	$2,802.94	$4,393.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,165.38 / $3,028.99 / $3,175.80	Facility		$2,165.38	$3,028.99	$3,175.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,743.25 / $3,217.15 / $4,393.82	Facility		$1,743.25	$3,217.15	$4,393.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $607.84 / $607.84 / $607.84	Facility	80	$607.84	$607.84	$607.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $516.66 / $516.66 / $516.66	Facility	AS	$516.66	$516.66	$516.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,260.45 / $8,260.45 / $8,260.45	Facility		$8,260.45	$8,260.45	$8,260.45
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