Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,636.43 / $8,878.56 / $20,400.00	Facility		$2,636.43	$8,878.56	$20,400.00
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 $1,205.66 / $2,502.27 / $2,780.29	Professional		$1,205.66	$2,502.27	$2,780.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,242.20 / $1,935.94 / $3,885.46	Facility		$1,242.20	$1,935.94	$3,885.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,634.70 / $2,260.58 / $2,803.40	Facility		$1,634.70	$2,260.58	$2,803.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,461.41 / $2,776.77 / $7,339.00	Facility		$1,461.41	$2,776.77	$7,339.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $444.28 / $444.28 / $444.28	Facility	80	$444.28	$444.28	$444.28
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