Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$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 $2,175.87 / $2,553.39 / $3,057.64	Professional		$2,175.87	$2,553.39	$3,057.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,563.71 / $2,126.60 / $2,874.70	Facility		$1,563.71	$2,126.60	$2,874.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,680.73 / $2,280.71 / $2,432.77	Facility		$1,680.73	$2,280.71	$2,432.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,563.71 / $2,144.57 / $3,094.31	Facility		$1,563.71	$2,144.57	$3,094.31
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $456.49 / $456.49 / $456.49	Facility	80	$456.49	$456.49	$456.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $388.02 / $388.02 / $388.02	Facility	AS	$388.02	$388.02	$388.02
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