Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,122.08 / $2,747.00 / $7,920.26	Facility		$2,122.08	$2,747.00	$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 $1,991.85 / $2,336.00 / $2,799.06	Professional		$1,991.85	$2,336.00	$2,799.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,426.69 / $1,945.56 / $2,648.70	Facility		$1,426.69	$1,945.56	$2,648.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,524.72 / $2,069.15 / $2,204.96	Facility		$1,524.72	$2,069.15	$2,204.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,426.69 / $1,965.66 / $2,789.68	Facility		$1,426.69	$1,965.66	$2,789.68
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $414.35 / $414.35 / $414.35	Facility	80	$414.35	$414.35	$414.35
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $352.20 / $352.20 / $352.20	Facility	AS	$352.20	$352.20	$352.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,602.19 / $5,602.19 / $5,602.19	Facility		$5,602.19	$5,602.19	$5,602.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00