Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
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 $4,949.26 / $5,845.22 / $6,954.97	Professional		$4,949.26	$5,845.22	$6,954.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $5,091.51 / $6,758.35	Facility		$3,750.00	$5,091.51	$6,758.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,858.07 / $5,207.25 / $5,435.04	Facility		$3,858.07	$5,207.25	$5,435.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,583.12 / $5,134.84 / $6,944.60	Facility		$3,583.12	$5,134.84	$6,944.60
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $4,016.51 / $4,016.51 / $4,016.51	Facility	62	$4,016.51	$4,016.51	$4,016.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,028.23 / $1,028.23 / $1,028.23	Facility	80	$1,028.23	$1,028.23	$1,028.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.31 / $15,055.00 / $24,231.00	Facility		$2,041.31	$15,055.00	$24,231.00