Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,647.53 / $7,920.26 / $23,856.49	Facility		$2,647.53	$7,920.26	$23,856.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,234.17 / $2,625.30 / $3,139.58	Professional		$2,234.17	$2,625.30	$3,139.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.32 / $2,186.12 / $2,989.45	Facility		$1,573.32	$2,186.12	$2,989.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,702.81 / $2,362.59 / $2,508.48	Facility		$1,702.81	$2,362.59	$2,508.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,573.32 / $2,201.77 / $3,192.99	Facility		$1,573.32	$2,201.77	$3,192.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $471.39 / $471.39 / $471.39	Facility	80	$471.39	$471.39	$471.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $400.68 / $400.68 / $400.68	Facility	AS	$400.68	$400.68	$400.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00