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 / $23,856.49	Facility		$2,747.00	$7,920.26	$23,856.49
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 $2,481.98 / $2,917.05 / $3,487.82	Professional		$2,481.98	$2,917.05	$3,487.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,393.55 / $2,098.02 / $3,227.87	Facility		$1,393.55	$2,098.02	$3,227.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,614.70 / $2,363.40 / $2,756.38	Facility		$1,614.70	$2,363.40	$2,756.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,393.55 / $2,113.37 / $3,507.91	Facility		$1,393.55	$2,113.37	$3,507.91
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $519.44 / $519.44 / $519.44	Facility	80	$519.44	$519.44	$519.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $441.53 / $441.53 / $441.53	Facility	AS	$441.53	$441.53	$441.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $35,703.30 / $77,071.50 / $98,938.59	Facility	50	$35,703.30	$77,071.50	$98,938.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00