Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,969.39 / $7,920.26 / $59,252.00	Facility		$2,969.39	$7,920.26	$59,252.00
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 $2,815.97 / $3,298.41 / $3,957.14	Professional		$2,815.97	$3,298.41	$3,957.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,907.46 / $2,745.36 / $3,627.80	Facility		$1,907.46	$2,745.36	$3,627.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,092.32 / $2,846.83 / $3,138.28	Facility		$2,092.32	$2,846.83	$3,138.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,907.46 / $2,745.36 / $3,975.58	Facility		$1,907.46	$2,745.36	$3,975.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $583.94 / $583.94 / $583.94	Facility	80	$583.94	$583.94	$583.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $496.35 / $496.35 / $496.35	Facility	AS	$496.35	$496.35	$496.35
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