Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.20 / $7,920.26 / $20,400.00	Facility		$1,622.20	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,377.93 / $1,614.00 / $1,936.34	Professional		$1,377.93	$1,614.00	$1,936.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $978.56 / $1,339.82 / $1,778.20	Facility		$978.56	$1,339.82	$1,778.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,016.97 / $1,396.28 / $1,493.43	Facility		$1,016.97	$1,396.28	$1,493.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.73 / $1,460.16 / $5,949.00	Facility		$984.73	$1,460.16	$5,949.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $280.08 / $280.08 / $280.08	Facility	80	$280.08	$280.08	$280.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $238.07 / $238.07 / $238.07	Facility	AS	$238.07	$238.07	$238.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,573.67 / $15,257.31 / $18,175.73	Facility	50	$11,573.67	$15,257.31	$18,175.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00