Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,094.34 / $11,050.00 / $24,365.33	Facility		$2,094.34	$11,050.00	$24,365.33
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 $1,982.00 / $2,321.57 / $2,785.22	Professional		$1,982.00	$2,321.57	$2,785.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,478.43 / $2,025.45 / $3,178.62	Facility		$1,478.43	$2,025.45	$3,178.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,457.38 / $1,996.60 / $2,139.98	Facility		$1,457.38	$1,996.60	$2,139.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,478.43 / $2,136.86 / $7,090.00	Facility		$1,478.43	$2,136.86	$7,090.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $401.12 / $401.12 / $401.12	Facility	80	$401.12	$401.12	$401.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $340.95 / $340.95 / $340.95	Facility	AS	$340.95	$340.95	$340.95
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