Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,594.60 / $5,116.62 / $7,920.26	Facility		$4,594.60	$5,116.62	$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 $3,656.82 / $4,801.72 / $5,874.95	Professional		$3,656.82	$4,801.72	$5,874.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,428.87 / $4,122.24 / $6,325.55	Facility		$2,428.87	$4,122.24	$6,325.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,850.64 / $4,437.41 / $4,683.97	Facility		$2,850.64	$4,437.41	$4,683.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,515.34 / $4,664.00 / $6,325.55	Facility		$2,515.34	$4,664.00	$6,325.55
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,486.03 / $3,486.03 / $3,486.03	Facility	62	$3,486.03	$3,486.03	$3,486.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $892.42 / $892.42 / $892.42	Facility	80	$892.42	$892.42	$892.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $758.56 / $758.56 / $758.56	Facility	AS	$758.56	$758.56	$758.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,992.27 / $11,992.27 / $11,992.27	Facility		$11,992.27	$11,992.27	$11,992.27
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