Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,060.58 / $7,920.26 / $23,856.49	Facility		$3,060.58	$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 $2,898.24 / $3,397.43 / $4,072.76	Professional		$2,898.24	$3,397.43	$4,072.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,085.35 / $2,829.06 / $3,806.30	Facility		$2,085.35	$2,829.06	$3,806.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,230.15 / $3,023.71 / $3,244.81	Facility		$2,230.15	$3,023.71	$3,244.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,085.35 / $2,862.00 / $4,113.72	Facility		$2,085.35	$2,862.00	$4,113.72
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $605.27 / $605.27 / $605.27	Facility	80	$605.27	$605.27	$605.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $514.48 / $514.48 / $514.48	Facility	AS	$514.48	$514.48	$514.48
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