Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $23,856.49	Facility		$2,747.00	$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 $2,376.94 / $2,793.82 / $3,340.22	Professional		$2,376.94	$2,793.82	$3,340.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.70 / $2,341.17 / $3,142.45	Facility		$1,698.70	$2,341.17	$3,142.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,828.99 / $2,443.15 / $2,648.51	Facility		$1,828.99	$2,443.15	$2,648.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.70 / $2,440.80 / $3,366.33	Facility		$1,698.70	$2,440.80	$3,366.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $498.37 / $498.37 / $498.37	Facility	80	$498.37	$498.37	$498.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $423.62 / $423.62 / $423.62	Facility	AS	$423.62	$423.62	$423.62
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