Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $6,710.64 / $7,920.26	Facility		$5,116.62	$6,710.64	$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 $4,868.60 / $6,392.93 / $7,812.85	Professional		$4,868.60	$6,392.93	$7,812.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,372.02 / $5,488.25 / $8,429.44	Facility		$3,372.02	$5,488.25	$8,429.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,246.42 / $5,927.49 / $6,244.40	Facility		$4,246.42	$5,927.49	$6,244.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,488.70 / $6,235.65 / $8,429.44	Facility		$3,488.70	$6,235.65	$8,429.44
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $4,648.87 / $4,648.87 / $4,648.87	Facility	62	$4,648.87	$4,648.87	$4,648.87
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,190.10 / $1,190.10 / $1,190.10	Facility	80	$1,190.10	$1,190.10	$1,190.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $1,011.59 / $1,011.59 / $1,011.59	Facility	AS	$1,011.59	$1,011.59	$1,011.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,029.34 / $16,029.34 / $16,029.34	Facility		$16,029.34	$16,029.34	$16,029.34
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