Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.47 / $2,747.00 / $13,746.00	Facility		$474.47	$2,747.00	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.52 / $587.98 / $699.15	Professional		$497.52	$587.98	$699.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.75 / $633.04 / $947.08	Facility		$385.75	$633.04	$947.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $399.23 / $529.14 / $633.08	Facility		$399.23	$529.14	$633.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $385.75 / $677.56 / $5,949.00	Facility		$385.75	$677.56	$5,949.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $104.97 / $104.97 / $104.97	Facility	80	$104.97	$104.97	$104.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $89.22 / $89.22 / $89.22	Facility	AS	$89.22	$89.22	$89.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
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