Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,148.39 / $2,747.00 / $7,920.26	Facility		$2,148.39	$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 $1,718.02 / $2,255.92 / $2,762.14	Professional		$1,718.02	$2,255.92	$2,762.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.45 / $1,936.68 / $3,002.65	Facility		$1,177.45	$1,936.68	$3,002.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,425.52 / $2,092.87 / $2,168.12	Facility		$1,425.52	$2,092.87	$2,168.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,252.36 / $2,166.92 / $3,002.65	Facility		$1,252.36	$2,166.92	$3,002.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $410.49 / $410.49 / $410.49	Facility	80	$410.49	$410.49	$410.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $348.92 / $348.92 / $348.92	Facility	AS	$348.92	$348.92	$348.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,449.70 / $3,910.80 / $6,979.68	Facility		$1,449.70	$3,910.80	$6,979.68
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