Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,140.37 / $7,920.26 / $23,856.49	Facility		$4,140.37	$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 $3,823.71 / $4,502.08 / $5,373.28	Professional		$3,823.71	$4,502.08	$5,373.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,895.40 / $3,855.72 / $5,079.60	Facility		$2,895.40	$3,855.72	$5,079.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,955.93 / $4,002.05 / $4,282.64	Facility		$2,955.93	$4,002.05	$4,282.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,895.40 / $3,966.70 / $5,444.64	Facility		$2,895.40	$3,966.70	$5,444.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $805.83 / $805.83 / $805.83	Facility	80	$805.83	$805.83	$805.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $684.95 / $684.95 / $684.95	Facility	AS	$684.95	$684.95	$684.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
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