Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.25 / $2,747.00 / $7,920.26	Facility		$803.25	$2,747.00	$7,920.26
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 $1,277.78 / $1,514.94 / $1,795.60	Professional		$1,277.78	$1,514.94	$1,795.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $973.68 / $1,333.94 / $1,776.33	Facility		$973.68	$1,333.94	$1,776.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,037.80 / $1,363.33 / $1,455.24	Facility		$1,037.80	$1,363.33	$1,455.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $973.68 / $1,374.48 / $1,856.93	Facility		$973.68	$1,374.48	$1,856.93
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,077.03 / $1,077.03 / $1,077.03	Facility	62	$1,077.03	$1,077.03	$1,077.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $275.72 / $275.72 / $275.72	Facility	80	$275.72	$275.72	$275.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $234.36 / $234.36 / $234.36	Facility	AS	$234.36	$234.36	$234.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,808.15 / $3,808.15 / $3,808.15	Facility		$3,808.15	$3,808.15	$3,808.15
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