Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,472.59 / $8,369.76 / $30,593.00	Facility		$2,472.59	$8,369.76	$30,593.00
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 $1,791.89 / $2,352.91 / $2,879.72	Professional		$1,791.89	$2,352.91	$2,879.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.44 / $2,151.13 / $3,170.18	Facility		$1,226.44	$2,151.13	$3,170.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,600.79 / $2,182.85 / $2,262.59	Facility		$1,600.79	$2,182.85	$2,262.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,304.78 / $2,337.46 / $3,170.18	Facility		$1,304.78	$2,337.46	$3,170.18
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $429.51 / $429.51 / $429.51	Facility	80	$429.51	$429.51	$429.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $365.08 / $365.08 / $365.08	Facility	AS	$365.08	$365.08	$365.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.73 / $5,857.73 / $5,857.73	Facility		$5,857.73	$5,857.73	$5,857.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00