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 $2,245.56 / $2,634.00 / $3,155.57	Professional		$2,245.56	$2,634.00	$3,155.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,599.96 / $2,193.56 / $2,952.05	Facility		$1,599.96	$2,193.56	$2,952.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,723.85 / $2,314.77 / $2,505.80	Facility		$1,723.85	$2,314.77	$2,505.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,599.96 / $2,212.30 / $3,176.69	Facility		$1,599.96	$2,212.30	$3,176.69
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $468.69 / $468.69 / $468.69	Facility	80	$468.69	$468.69	$468.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $398.39 / $398.39 / $398.39	Facility	AS	$398.39	$398.39	$398.39
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