Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,861.71 / $5,323.37 / $7,920.26	Facility		$4,861.71	$5,323.37	$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 $3,863.61 / $5,073.27 / $6,196.24	Professional		$3,863.61	$5,073.27	$6,196.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,386.60 / $4,355.34 / $6,728.19	Facility		$2,386.60	$4,355.34	$6,728.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.72 / $4,706.57 / $4,962.68	Facility		$3,019.72	$4,706.57	$4,962.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,405.61 / $4,887.72 / $6,728.19	Facility		$2,405.61	$4,887.72	$6,728.19
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $945.36 / $945.36 / $945.36	Facility	80	$945.36	$945.36	$945.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,726.93 / $12,726.93 / $12,726.93	Facility		$12,726.93	$12,726.93	$12,726.93
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