Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.89 / $7,074.00 / $20,400.00	Facility		$1,139.89	$7,074.00	$20,400.00
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 $1,241.61 / $1,454.34 / $1,744.79	Professional		$1,241.61	$1,454.34	$1,744.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.71 / $1,203.42 / $1,593.75	Facility		$871.71	$1,203.42	$1,593.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $908.44 / $1,247.54 / $1,337.99	Facility		$908.44	$1,247.54	$1,337.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $880.40 / $1,310.13 / $2,748.00	Facility		$880.40	$1,310.13	$2,748.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.28 / $250.28 / $250.28	Facility	80	$250.28	$250.28	$250.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $212.74 / $212.74 / $212.74	Facility	AS	$212.74	$212.74	$212.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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