Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,381.67 / $7,920.26 / $20,400.00	Facility		$2,381.67	$7,920.26	$20,400.00
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 $2,000.77 / $2,348.55 / $2,811.60	Professional		$2,000.77	$2,348.55	$2,811.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,344.24 / $1,956.10 / $2,652.85	Facility		$1,344.24	$1,956.10	$2,652.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,536.83 / $2,097.10 / $2,211.67	Facility		$1,536.83	$2,097.10	$2,211.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,383.06 / $1,994.51 / $2,821.43	Facility		$1,383.06	$1,994.51	$2,821.43
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $418.20 / $418.20 / $418.20	Facility	80	$418.20	$418.20	$418.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $355.47 / $355.47 / $355.47	Facility	AS	$355.47	$355.47	$355.47
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