Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,787.91 / $7,920.26 / $20,400.00	Facility		$1,787.91	$7,920.26	$20,400.00
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 $1,518.33 / $1,778.45 / $2,133.63	Professional		$1,518.33	$1,778.45	$2,133.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,108.19 / $1,479.94 / $1,971.15	Facility		$1,108.19	$1,479.94	$1,971.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,142.94 / $1,556.41 / $1,676.34	Facility		$1,142.94	$1,556.41	$1,676.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,108.19 / $1,503.36 / $2,124.66	Facility		$1,108.19	$1,503.36	$2,124.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $313.88 / $313.88 / $313.88	Facility	80	$313.88	$313.88	$313.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $266.80 / $266.80 / $266.80	Facility	AS	$266.80	$266.80	$266.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00