Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,489.11 / $9,972.00 / $20,765.16	Facility		$2,489.11	$9,972.00	$20,765.16
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 $2,343.84 / $2,749.59 / $3,293.70	Professional		$2,343.84	$2,749.59	$3,293.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,665.94 / $2,289.66 / $3,109.30	Facility		$1,665.94	$2,289.66	$3,109.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,820.75 / $2,449.69 / $2,626.40	Facility		$1,820.75	$2,449.69	$2,626.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,665.94 / $2,308.55 / $3,332.86	Facility		$1,665.94	$2,308.55	$3,332.86
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,921.18 / $1,921.18 / $1,921.18	Facility	62	$1,921.18	$1,921.18	$1,921.18
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $491.82 / $491.82 / $491.82	Facility	80	$491.82	$491.82	$491.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $418.05 / $418.05 / $418.05	Facility	AS	$418.05	$418.05	$418.05
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