Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,050.91 / $3,710.40 / $7,920.26	Facility		$3,050.91	$3,710.40	$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 $2,422.63 / $3,181.13 / $3,880.63	Professional		$2,422.63	$3,181.13	$3,880.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,656.61 / $2,731.10 / $4,237.39	Facility		$1,656.61	$2,731.10	$4,237.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,050.63 / $2,951.21 / $3,076.64	Facility		$2,050.63	$2,951.21	$3,076.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,704.01 / $3,134.48 / $4,237.39	Facility		$1,704.01	$3,134.48	$4,237.39
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $587.66 / $587.66 / $587.66	Facility	80	$587.66	$587.66	$587.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $499.52 / $499.52 / $499.52	Facility	AS	$499.52	$499.52	$499.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,985.38 / $7,985.38 / $7,985.38	Facility		$7,985.38	$7,985.38	$7,985.38
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