Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,075.40 / $8,878.56 / $13,746.00	Facility		$2,075.40	$8,878.56	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,102.68 / $2,291.07 / $2,545.64	Professional		$1,102.68	$2,291.07	$2,545.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,137.34 / $1,771.69 / $3,288.66	Facility		$1,137.34	$1,771.69	$3,288.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,414.06 / $2,072.98 / $2,327.58	Facility		$1,414.06	$2,072.98	$2,327.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,292.51 / $2,543.10 / $7,339.00	Facility		$1,292.51	$2,543.10	$7,339.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $406.90 / $406.90 / $406.90	Facility	80	$406.90	$406.90	$406.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
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