Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $7,102.57 / $7,920.26	Facility		$5,116.62	$7,102.57	$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 $5,144.89 / $6,755.70 / $8,242.98	Professional		$5,144.89	$6,755.70	$8,242.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,407.44 / $5,799.68 / $8,957.95	Facility		$3,407.44	$5,799.68	$8,957.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,310.55 / $6,267.39 / $6,606.20	Facility		$4,310.55	$6,267.39	$6,606.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,561.21 / $6,633.67 / $8,957.95	Facility		$3,561.21	$6,633.67	$8,957.95
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,260.90 / $1,260.90 / $1,260.90	Facility	80	$1,260.90	$1,260.90	$1,260.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,994.71 / $16,994.71 / $16,994.71	Facility		$16,994.71	$16,994.71	$16,994.71
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