Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $23,856.49	Facility		$2,747.00	$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 $2,357.87 / $2,761.83 / $3,313.40	Professional		$2,357.87	$2,761.83	$3,313.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.08 / $2,297.71 / $3,057.45	Facility		$1,663.08	$2,297.71	$3,057.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.12 / $2,415.64 / $2,613.00	Facility		$1,778.12	$2,415.64	$2,613.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,663.08 / $2,297.71 / $3,312.27	Facility		$1,663.08	$2,297.71	$3,312.27
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,903.61 / $1,903.61 / $1,903.61	Facility	62	$1,903.61	$1,903.61	$1,903.61
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $487.32 / $487.32 / $487.32	Facility	80	$487.32	$487.32	$487.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $414.23 / $414.23 / $414.23	Facility	AS	$414.23	$414.23	$414.23
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