Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,509.44 / $15,415.58 / $39,847.79	Facility		$3,509.44	$15,415.58	$39,847.79
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 $3,277.41 / $3,855.78 / $4,605.59	Professional		$3,277.41	$3,855.78	$4,605.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,519.21 / $3,400.93 / $5,071.35	Facility		$2,519.21	$3,400.93	$5,071.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,614.36 / $3,469.93 / $3,725.72	Facility		$2,614.36	$3,469.93	$3,725.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,470.00 / $3,602.47 / $5,071.35	Facility		$2,470.00	$3,602.47	$5,071.35
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,754.79 / $2,754.79 / $2,754.79	Facility	62	$2,754.79	$2,754.79	$2,754.79
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $705.23 / $705.23 / $705.23	Facility	80	$705.23	$705.23	$705.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $599.44 / $599.44 / $599.44	Facility	AS	$599.44	$599.44	$599.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,710.28 / $58,523.61 / $78,393.52	Facility		$27,710.28	$58,523.61	$78,393.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $30,636.00 / $55,640.00	Facility		$3,960.00	$30,636.00	$55,640.00