Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,155.94 / $12,074.17 / $31,114.32	Facility		$2,155.94	$12,074.17	$31,114.32
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 $2,027.84 / $2,376.51 / $2,849.63	Professional		$2,027.84	$2,376.51	$2,849.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,458.39 / $1,979.04 / $3,044.30	Facility		$1,458.39	$1,979.04	$3,044.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,553.31 / $2,117.19 / $2,251.87	Facility		$1,553.31	$2,117.19	$2,251.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,458.39 / $1,997.99 / $2,859.19	Facility		$1,458.39	$1,997.99	$2,859.19
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,648.16 / $1,648.16 / $1,648.16	Facility	62	$1,648.16	$1,648.16	$1,648.16
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $421.93 / $421.93 / $421.93	Facility	80	$421.93	$421.93	$421.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $358.64 / $358.64 / $358.64	Facility	AS	$358.64	$358.64	$358.64
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