Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $6,682.78 / $7,920.26	Facility		$5,116.62	$6,682.78	$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 $4,836.47 / $6,350.73 / $7,758.10	Professional		$4,836.47	$6,350.73	$7,758.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,359.80 / $5,452.03 / $8,417.41	Facility		$3,359.80	$5,452.03	$8,417.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,243.41 / $5,891.71 / $6,218.27	Facility		$4,243.41	$5,891.71	$6,218.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,473.24 / $6,226.75 / $8,417.41	Facility		$3,473.24	$6,226.75	$8,417.41
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,187.93 / $1,187.93 / $1,187.93	Facility	80	$1,187.93	$1,187.93	$1,187.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $1,009.74 / $1,009.74 / $1,009.74	Facility	AS	$1,009.74	$1,009.74	$1,009.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,942.41 / $15,942.41 / $15,942.41	Facility		$15,942.41	$15,942.41	$15,942.41
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