Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,474.25 / $9,248.18 / $21,664.94	Facility		$1,474.25	$9,248.18	$21,664.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,409.23 / $1,650.66 / $1,980.32	Professional		$1,409.23	$1,650.66	$1,980.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.59 / $1,408.86 / $2,014.11	Facility		$1,043.59	$1,408.86	$2,014.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,021.33 / $1,399.63 / $1,514.20	Facility		$1,021.33	$1,399.63	$1,514.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,043.59 / $1,493.64 / $7,090.00	Facility		$1,043.59	$1,493.64	$7,090.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $282.39 / $282.39 / $282.39	Facility	80	$282.39	$282.39	$282.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $240.04 / $240.04 / $240.04	Facility	AS	$240.04	$240.04	$240.04
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,291.08 / $33,904.28 / $40,172.04	Facility	50	$25,291.08	$33,904.28	$40,172.04
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