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 $2,269.65 / $2,663.09 / $3,189.43	Professional		$2,269.65	$2,663.09	$3,189.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,631.82 / $2,217.73 / $2,991.15	Facility		$1,631.82	$2,217.73	$2,991.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,719.49 / $2,329.17 / $2,479.00	Facility		$1,719.49	$2,329.17	$2,479.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,627.84 / $2,284.56 / $3,151.80	Facility		$1,627.84	$2,284.56	$3,151.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $467.41 / $467.41 / $467.41	Facility	80	$467.41	$467.41	$467.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $397.30 / $397.30 / $397.30	Facility	AS	$397.30	$397.30	$397.30
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