Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.30 / $2,747.00 / $7,920.26	Facility		$1,680.30	$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 $1,343.69 / $1,764.39 / $2,172.29	Professional		$1,343.69	$1,764.39	$2,172.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.27 / $1,514.70 / $2,306.60	Facility		$919.27	$1,514.70	$2,306.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,042.01 / $1,606.66 / $1,714.53	Facility		$1,042.01	$1,606.66	$1,714.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.08 / $1,692.51 / $2,306.60	Facility		$946.08	$1,692.51	$2,306.60
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $326.20 / $326.20 / $326.20	Facility	80	$326.20	$326.20	$326.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $277.27 / $277.27 / $277.27	Facility	AS	$277.27	$277.27	$277.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,338.76 / $4,338.76 / $4,338.76	Facility		$4,338.76	$4,338.76	$4,338.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00