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 $4,328.77 / $5,100.64 / $6,083.02	Professional		$4,328.77	$5,100.64	$6,083.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,268.56 / $4,477.93 / $6,570.83	Facility		$3,268.56	$4,477.93	$6,570.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,381.33 / $4,570.59 / $4,854.14	Facility		$3,381.33	$4,570.59	$4,854.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,268.56 / $4,527.35 / $6,166.31	Facility		$3,268.56	$4,527.35	$6,166.31
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,564.82 / $3,564.82 / $3,564.82	Facility	62	$3,564.82	$3,564.82	$3,564.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $912.59 / $912.59 / $912.59	Facility	80	$912.59	$912.59	$912.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $775.70 / $775.70 / $775.70	Facility	AS	$775.70	$775.70	$775.70
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00