Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.06 / $11,566.66 / $23,856.49	Facility		$1,627.06	$11,566.66	$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 $1,548.33 / $1,813.60 / $2,175.80	Professional		$1,548.33	$1,813.60	$2,175.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,055.14 / $1,506.60 / $2,000.05	Facility		$1,055.14	$1,506.60	$2,000.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,167.16 / $1,584.55 / $1,715.20	Facility		$1,167.16	$1,584.55	$1,715.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,055.14 / $1,511.92 / $2,172.71	Facility		$1,055.14	$1,511.92	$2,172.71
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $320.04 / $320.04 / $320.04	Facility	80	$320.04	$320.04	$320.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $272.04 / $272.04 / $272.04	Facility	AS	$272.04	$272.04	$272.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54,340.97 / $73,520.14 / $86,036.51	Facility		$54,340.97	$73,520.14	$86,036.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00