Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$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 $2,924.95 / $3,438.93 / $4,110.30	Professional		$2,924.95	$3,438.93	$4,110.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,133.50 / $2,873.16 / $3,878.55	Facility		$2,133.50	$2,873.16	$3,878.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,230.64 / $3,022.17 / $3,205.28	Facility		$2,230.64	$3,022.17	$3,205.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,127.67 / $2,998.08 / $4,081.98	Facility		$2,127.67	$2,998.08	$4,081.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $605.78 / $605.78 / $605.78	Facility	80	$605.78	$605.78	$605.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $514.91 / $514.91 / $514.91	Facility	AS	$514.91	$514.91	$514.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,744.62 / $8,098.56 / $9,851.42	Facility		$3,744.62	$8,098.56	$9,851.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00