Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.97 / $7,920.26 / $20,400.00	Facility		$1,954.97	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.93 / $2,153.13 / $2,392.37	Professional		$1,035.93	$2,153.13	$2,392.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.93 / $1,589.41 / $2,475.89	Facility		$1,035.93	$1,589.41	$2,475.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,413.77 / $1,951.04 / $2,051.54	Facility		$1,413.77	$1,951.04	$2,051.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,109.99 / $1,973.40 / $2,598.33	Facility		$1,109.99	$1,973.40	$2,598.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $383.00 / $383.00 / $383.00	Facility	80	$383.00	$383.00	$383.00
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