Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,985.09 / $9,105.36 / $23,856.49	Facility		$2,985.09	$9,105.36	$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 $3,072.96 / $3,615.02 / $4,318.28	Professional		$3,072.96	$3,615.02	$4,318.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,310.61 / $3,204.96 / $4,723.34	Facility		$2,310.61	$3,204.96	$4,723.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,416.19 / $3,253.28 / $3,450.50	Facility		$2,416.19	$3,253.28	$3,450.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,294.76 / $3,455.39 / $4,387.47	Facility		$2,294.76	$3,455.39	$4,387.47
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,534.46 / $2,534.46 / $2,534.46	Facility	62	$2,534.46	$2,534.46	$2,534.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $648.82 / $648.82 / $648.82	Facility	80	$648.82	$648.82	$648.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $551.50 / $551.50 / $551.50	Facility	AS	$551.50	$551.50	$551.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
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