Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $23,856.49	Facility		$2,747.00	$5,116.62	$23,856.49
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 $2,714.15 / $3,179.14 / $3,814.06	Professional		$2,714.15	$3,179.14	$3,814.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,833.33 / $2,645.54 / $3,475.65	Facility		$1,833.33	$2,645.54	$3,475.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,961.78 / $2,732.01 / $3,011.65	Facility		$1,961.78	$2,732.01	$3,011.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,833.33 / $2,645.54 / $3,815.11	Facility		$1,833.33	$2,645.54	$3,815.11
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $560.69 / $560.69 / $560.69	Facility	80	$560.69	$560.69	$560.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $476.58 / $476.58 / $476.58	Facility	AS	$476.58	$476.58	$476.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
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