Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,749.17 / $3,356.85 / $7,920.26	Facility		$2,749.17	$3,356.85	$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 $2,185.96 / $2,870.36 / $3,505.01	Professional		$2,185.96	$2,870.36	$3,505.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.74 / $2,464.17 / $3,841.24	Facility		$1,445.74	$2,464.17	$3,841.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,708.14 / $2,662.89 / $2,790.55	Facility		$1,708.14	$2,662.89	$2,790.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,506.92 / $2,826.54 / $3,841.24	Facility		$1,506.92	$2,826.54	$3,841.24
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $532.80 / $532.80 / $532.80	Facility	80	$532.80	$532.80	$532.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,222.37 / $7,222.37 / $7,222.37	Facility		$7,222.37	$7,222.37	$7,222.37
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