Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,899.64 / $7,920.26	Facility		$2,747.00	$4,899.64	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,183.85 / $3,747.12 / $4,474.10	Professional		$3,183.85	$3,747.12	$4,474.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,297.67 / $3,135.36 / $4,245.21	Facility		$2,297.67	$3,135.36	$4,245.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,459.81 / $3,369.98 / $3,578.47	Facility		$2,459.81	$3,369.98	$3,578.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,297.67 / $3,147.81 / $4,535.06	Facility		$2,297.67	$3,147.81	$4,535.06
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $670.28 / $670.28 / $670.28	Facility	80	$670.28	$670.28	$670.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $569.74 / $569.74 / $569.74	Facility	AS	$569.74	$569.74	$569.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,105.12 / $9,105.12 / $9,105.12	Facility		$9,105.12	$9,105.12	$9,105.12
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