Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,075.77 / $3,772.85 / $7,920.26	Facility		$3,075.77	$3,772.85	$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 $2,458.61 / $3,228.37 / $3,948.99	Professional		$2,458.61	$3,228.37	$3,948.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,694.15 / $2,771.51 / $4,246.64	Facility		$1,694.15	$2,771.51	$4,246.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,125.04 / $2,980.16 / $3,147.66	Facility		$2,125.04	$2,980.16	$3,147.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,756.79 / $3,124.40 / $4,246.64	Facility		$1,756.79	$3,124.40	$4,246.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $598.33 / $598.33 / $598.33	Facility	80	$598.33	$598.33	$598.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $508.58 / $508.58 / $508.58	Facility	AS	$508.58	$508.58	$508.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,045.75 / $8,045.75 / $8,045.75	Facility		$8,045.75	$8,045.75	$8,045.75
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