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 / $19,137.24	Facility		$2,528.00	$7,920.26	$19,137.24
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 $2,496.65 / $2,931.09 / $3,508.43	Professional		$2,496.65	$2,931.09	$3,508.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,797.10 / $2,440.94 / $3,303.99	Facility		$1,797.10	$2,440.94	$3,303.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,934.12 / $2,637.78 / $2,796.58	Facility		$1,934.12	$2,637.78	$2,796.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,797.10 / $2,462.03 / $3,551.68	Facility		$1,797.10	$2,462.03	$3,551.68
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $524.46 / $524.46 / $524.46	Facility	80	$524.46	$524.46	$524.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $445.79 / $445.79 / $445.79	Facility	AS	$445.79	$445.79	$445.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,076.07 / $21,418.17 / $26,781.36	Facility		$14,076.07	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00