Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,856.39 / $7,920.26 / $23,856.49	Facility		$2,856.39	$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 $2,689.59 / $3,158.17 / $3,779.56	Professional		$2,689.59	$3,158.17	$3,779.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,926.80 / $2,630.04 / $3,573.40	Facility		$1,926.80	$2,630.04	$3,573.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,097.88 / $2,842.13 / $3,023.71	Facility		$2,097.88	$2,842.13	$3,023.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,926.80 / $2,639.72 / $3,834.85	Facility		$1,926.80	$2,639.72	$3,834.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $564.92 / $564.92 / $564.92	Facility	80	$564.92	$564.92	$564.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $480.19 / $480.19 / $480.19	Facility	AS	$480.19	$480.19	$480.19
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