Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.01 / $7,920.26 / $23,856.49	Facility		$1,389.01	$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 $1,313.36 / $1,538.37 / $1,845.60	Professional		$1,313.36	$1,538.37	$1,845.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $932.37 / $1,277.82 / $1,683.00	Facility		$932.37	$1,277.82	$1,683.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $972.88 / $1,322.45 / $1,445.86	Facility		$972.88	$1,322.45	$1,445.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.37 / $1,277.82 / $1,830.33	Facility		$932.37	$1,277.82	$1,830.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $270.32 / $270.32 / $270.32	Facility	80	$270.32	$270.32	$270.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $229.77 / $229.77 / $229.77	Facility	AS	$229.77	$229.77	$229.77
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