Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,754.57 / $8,952.00 / $32,689.00	Facility		$1,754.57	$8,952.00	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,650.85 / $1,933.68 / $2,319.86	Professional		$1,650.85	$1,933.68	$2,319.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,169.08 / $1,606.42 / $2,130.94	Facility		$1,169.08	$1,606.42	$2,130.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,220.46 / $1,674.33 / $1,790.24	Facility		$1,220.46	$1,674.33	$1,790.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,175.98 / $1,752.50 / $3,397.00	Facility		$1,175.98	$1,752.50	$3,397.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $336.75 / $336.75 / $336.75	Facility	80	$336.75	$336.75	$336.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $286.23 / $286.23 / $286.23	Facility	AS	$286.23	$286.23	$286.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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