Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.65 / $7,920.26 / $23,856.49	Facility		$1,600.65	$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 $1,362.75 / $1,596.22 / $1,915.00	Professional		$1,362.75	$1,596.22	$1,915.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $976.61 / $1,326.80 / $1,753.55	Facility		$976.61	$1,326.80	$1,753.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,016.48 / $1,380.09 / $1,499.46	Facility		$1,016.48	$1,380.09	$1,499.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $976.61 / $1,330.56 / $1,901.55	Facility		$976.61	$1,330.56	$1,901.55
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $281.50 / $281.50 / $281.50	Facility	80	$281.50	$281.50	$281.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $239.27 / $239.27 / $239.27	Facility	AS	$239.27	$239.27	$239.27
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 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00