Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.53 / $4,283.46 / $8,728.00	Facility		$1,576.53	$4,283.46	$8,728.00
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 $1,440.23 / $1,707.36 / $2,023.89	Professional		$1,440.23	$1,707.36	$2,023.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.53 / $1,499.51 / $1,966.05	Facility		$1,094.53	$1,499.51	$1,966.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,158.44 / $1,536.50 / $1,636.81	Facility		$1,158.44	$1,536.50	$1,636.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,094.53 / $1,525.59 / $2,086.90	Facility		$1,094.53	$1,525.59	$2,086.90
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,207.51 / $1,207.51 / $1,207.51	Facility	62	$1,207.51	$1,207.51	$1,207.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $309.12 / $309.12 / $309.12	Facility	80	$309.12	$309.12	$309.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $262.75 / $262.75 / $262.75	Facility	AS	$262.75	$262.75	$262.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,239.34 / $4,239.34 / $4,239.34	Facility		$4,239.34	$4,239.34	$4,239.34
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00