Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,896.70 / $7,920.26 / $23,856.49	Facility		$2,896.70	$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 $2,694.34 / $3,169.06 / $3,786.23	Professional		$2,694.34	$3,169.06	$3,786.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,952.24 / $2,654.43 / $3,578.50	Facility		$1,952.24	$2,654.43	$3,578.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,093.52 / $2,844.82 / $3,027.06	Facility		$2,093.52	$2,844.82	$3,027.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,952.24 / $2,674.57 / $3,851.15	Facility		$1,952.24	$2,674.57	$3,851.15
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $569.41 / $569.41 / $569.41	Facility	80	$569.41	$569.41	$569.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $484.01 / $484.01 / $484.01	Facility	AS	$484.01	$484.01	$484.01
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