Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,441.56 / $10,180.24 / $42,921.00	Facility		$2,441.56	$10,180.24	$42,921.00
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 $1,775.07 / $2,330.83 / $2,855.91	Professional		$1,775.07	$2,330.83	$2,855.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,205.70 / $1,826.91 / $2,784.90	Facility		$1,205.70	$1,826.91	$2,784.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,383.05 / $2,126.79 / $2,269.29	Facility		$1,383.05	$2,126.79	$2,269.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,224.94 / $1,988.66 / $2,894.37	Facility		$1,224.94	$1,988.66	$2,894.37
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $432.98 / $432.98 / $432.98	Facility	80	$432.98	$432.98	$432.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $368.03 / $368.03 / $368.03	Facility	AS	$368.03	$368.03	$368.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,783.19 / $5,783.19 / $5,783.19	Facility		$5,783.19	$5,783.19	$5,783.19
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