Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.84 / $4,684.68 / $8,728.00	Facility		$766.84	$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 $637.67 / $756.02 / $896.10	Professional		$637.67	$756.02	$896.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.49 / $663.75 / $873.18	Facility		$484.49	$663.75	$873.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $510.66 / $680.36 / $721.59	Facility		$510.66	$680.36	$721.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.49 / $678.96 / $919.03	Facility		$484.49	$678.96	$919.03
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $531.49 / $531.49 / $531.49	Facility	62	$531.49	$531.49	$531.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $115.65 / $115.65 / $115.65	Facility	AS	$115.65	$115.65	$115.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,868.59 / $1,868.59 / $1,868.59	Facility		$1,868.59	$1,868.59	$1,868.59
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