Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,273.48 / $7,920.26 / $20,400.00	Facility		$2,273.48	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,144.90 / $2,382.44 / $2,647.16	Professional		$1,144.90	$2,382.44	$2,647.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,180.38 / $1,842.45 / $3,200.72	Facility		$1,180.38	$1,842.45	$3,200.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,561.54 / $2,159.41 / $2,270.63	Facility		$1,561.54	$2,159.41	$2,270.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,343.09 / $2,649.10 / $8,343.00	Facility		$1,343.09	$2,649.10	$8,343.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $423.86 / $423.86 / $423.86	Facility	80	$423.86	$423.86	$423.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $16,115.95	Facility		$10,762.34	$13,653.30	$16,115.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00