Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.57 / $7,920.26 / $23,856.49	Facility		$2,575.57	$7,920.26	$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 $2,765.68 / $3,258.85 / $3,886.47	Professional		$2,765.68	$3,258.85	$3,886.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,093.96 / $2,713.74 / $3,726.40	Facility		$2,093.96	$2,713.74	$3,726.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,162.81 / $2,932.74 / $3,085.35	Facility		$2,162.81	$2,932.74	$3,085.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,093.96 / $2,797.20 / $3,926.67	Facility		$2,093.96	$2,797.20	$3,926.67
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,275.50 / $2,275.50 / $2,275.50	Facility	62	$2,275.50	$2,275.50	$2,275.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $582.53 / $582.53 / $582.53	Facility	80	$582.53	$582.53	$582.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $495.15 / $495.15 / $495.15	Facility	AS	$495.15	$495.15	$495.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,843.42 / $46,841.13 / $63,939.04	Facility		$15,843.42	$46,841.13	$63,939.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00