Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.02 / $4,684.68 / $8,728.00	Facility		$598.02	$4,684.68	$8,728.00
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 $495.71 / $587.67 / $696.60	Professional		$495.71	$587.67	$696.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.66 / $514.28 / $682.02	Facility		$376.66	$514.28	$682.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $400.68 / $528.87 / $564.14	Facility		$400.68	$528.87	$564.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.66 / $520.95 / $723.38	Facility		$376.66	$520.95	$723.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $106.38 / $106.38 / $106.38	Facility	80	$106.38	$106.38	$106.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.42 / $90.42 / $90.42	Facility	AS	$90.42	$90.42	$90.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,467.53 / $1,467.53 / $1,467.53	Facility		$1,467.53	$1,467.53	$1,467.53
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00