Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$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 $2,206.98 / $2,588.98 / $3,101.36	Professional		$2,206.98	$2,588.98	$3,101.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,591.96 / $2,155.73 / $2,907.00	Facility		$1,591.96	$2,155.73	$2,907.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,670.56 / $2,262.37 / $2,411.33	Facility		$1,670.56	$2,262.37	$2,411.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,582.30 / $2,221.19 / $3,063.42	Facility		$1,582.30	$2,221.19	$3,063.42
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $454.43 / $454.43 / $454.43	Facility	80	$454.43	$454.43	$454.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $386.27 / $386.27 / $386.27	Facility	AS	$386.27	$386.27	$386.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
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