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 $2,833.37 / $3,327.04 / $3,981.60	Professional		$2,833.37	$3,327.04	$3,981.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,056.32 / $2,770.78 / $3,779.10	Facility		$2,056.32	$2,770.78	$3,779.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,214.80 / $2,994.12 / $3,175.13	Facility		$2,214.80	$2,994.12	$3,175.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,056.32 / $2,861.28 / $4,026.21	Facility		$2,056.32	$2,861.28	$4,026.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $603.34 / $603.34 / $603.34	Facility	80	$603.34	$603.34	$603.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $512.84 / $512.84 / $512.84	Facility	AS	$512.84	$512.84	$512.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,843.42 / $64,639.61 / $78,393.52	Facility		$15,843.42	$64,639.61	$78,393.52
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