Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.26 / $12,274.80 / $24,458.28	Facility		$1,814.26	$12,274.80	$24,458.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $1,348.00 / $1,348.00	Facility		$1,348.00	$1,348.00	$1,348.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.65 / $2,003.33 / $2,225.92	Professional		$960.65	$2,003.33	$2,225.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,024.26 / $1,632.86 / $3,095.27	Facility		$1,024.26	$1,632.86	$3,095.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,326.08 / $1,833.79 / $2,378.35	Facility		$1,326.08	$1,833.79	$2,378.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,215.01 / $2,225.92 / $10,990.00	Facility		$1,215.01	$2,225.92	$10,990.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $356.15 / $356.15 / $356.15	Facility	80	$356.15	$356.15	$356.15
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