Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.40 / $7,920.26 / $19,653.16	Facility		$1,548.40	$7,920.26	$19,653.16
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 $1,452.15 / $1,700.94 / $2,040.64	Professional		$1,452.15	$1,700.94	$2,040.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,091.66 / $1,414.22 / $1,885.30	Facility		$1,091.66	$1,414.22	$1,885.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.98 / $1,483.38 / $1,575.17	Facility		$1,078.98	$1,483.38	$1,575.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,091.66 / $1,556.95 / $5,217.00	Facility		$1,091.66	$1,556.95	$5,217.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $296.39 / $296.39 / $296.39	Facility	80	$296.39	$296.39	$296.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $251.94 / $251.94 / $251.94	Facility	AS	$251.94	$251.94	$251.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00