Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.99 / $7,920.26 / $20,400.00	Facility		$1,100.99	$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 $923.25 / $1,082.90 / $1,297.40	Professional		$923.25	$1,082.90	$1,297.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $705.80 / $932.19 / $1,244.16	Facility		$705.80	$932.19	$1,244.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $703.49 / $953.03 / $1,015.72	Facility		$703.49	$953.03	$1,015.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.80 / $957.90 / $1,295.73	Facility		$705.80	$957.90	$1,295.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $164.36 / $164.36 / $164.36	Facility	AS	$164.36	$164.36	$164.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,644.37 / $18,493.50 / $25,243.99	Facility		$3,644.37	$18,493.50	$25,243.99
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