Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,276.07 / $11,480.00 / $32,689.00	Facility		$2,276.07	$11,480.00	$32,689.00
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 $1,973.62 / $2,591.54 / $3,172.94	Professional		$1,973.62	$2,591.54	$3,172.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,356.70 / $2,224.80 / $3,359.93	Facility		$1,356.70	$2,224.80	$3,359.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,751.47 / $2,404.21 / $2,523.21	Facility		$1,751.47	$2,404.21	$2,523.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,461.71 / $2,495.39 / $3,359.93	Facility		$1,461.71	$2,495.39	$3,359.93
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $479.36 / $479.36 / $479.36	Facility	80	$479.36	$479.36	$479.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $32,532.53 / $38,534.69	Facility		$23,713.19	$32,532.53	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,540.00 / $51,981.00	Facility		$3,340.00	$25,540.00	$51,981.00