Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,931.43 / $2,840.93 / $13,320.00	Facility		$1,931.43	$2,840.93	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,111.65 / $2,473.42 / $2,967.40	Professional		$2,111.65	$2,473.42	$2,967.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $735.57 / $1,884.32 / $2,725.95	Facility		$735.57	$1,884.32	$2,725.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,545.95 / $2,141.32 / $2,284.03	Facility		$1,545.95	$2,141.32	$2,284.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $2,198.38 / $3,927.74	Facility		$842.00	$2,198.38	$3,927.74
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $425.65 / $425.65 / $425.65	Facility	80	$425.65	$425.65	$425.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $361.81 / $361.81 / $361.81	Facility	AS	$361.81	$361.81	$361.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00