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 $2,786.52 / $3,263.91 / $3,915.76	Professional		$2,786.52	$3,263.91	$3,915.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,966.55 / $2,718.08 / $3,590.40	Facility		$1,966.55	$2,718.08	$3,590.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,086.26 / $2,820.03 / $3,075.97	Facility		$2,086.26	$2,820.03	$3,075.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,966.55 / $2,718.08 / $3,901.78	Facility		$1,966.55	$2,718.08	$3,901.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $575.98 / $575.98 / $575.98	Facility	80	$575.98	$575.98	$575.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $489.58 / $489.58 / $489.58	Facility	AS	$489.58	$489.58	$489.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$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