Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,532.69 / $7,920.26 / $23,856.49	Facility		$2,532.69	$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 $2,391.07 / $2,800.71 / $3,360.06	Professional		$2,391.07	$2,800.71	$3,360.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,672.62 / $2,329.96 / $3,114.40	Facility		$1,672.62	$2,329.96	$3,114.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,815.91 / $2,468.28 / $2,659.90	Facility		$1,815.91	$2,468.28	$2,659.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,672.62 / $2,329.96 / $3,368.04	Facility		$1,672.62	$2,329.96	$3,368.04
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,937.24 / $1,937.24 / $1,937.24	Facility	62	$1,937.24	$1,937.24	$1,937.24
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $495.93 / $495.93 / $495.93	Facility	80	$495.93	$495.93	$495.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $421.54 / $421.54 / $421.54	Facility	AS	$421.54	$421.54	$421.54
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