Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $6,961.19 / $7,920.26	Facility		$5,116.62	$6,961.19	$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 $5,033.67 / $6,609.66 / $8,063.13	Professional		$5,033.67	$6,609.66	$8,063.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,960.39 / $5,674.24 / $8,842.26	Facility		$2,960.39	$5,674.24	$8,842.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,197.14 / $6,131.92 / $6,478.90	Facility		$4,197.14	$6,131.92	$6,478.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,960.39 / $6,351.51 / $8,842.26	Facility		$2,960.39	$6,351.51	$8,842.26
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,232.25 / $1,232.25 / $1,232.25	Facility	80	$1,232.25	$1,232.25	$1,232.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,724.99 / $16,724.99 / $16,724.99	Facility		$16,724.99	$16,724.99	$16,724.99
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