Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.35 / $7,920.26 / $15,475.02	Facility		$1,209.35	$7,920.26	$15,475.02
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 $1,149.24 / $1,351.87 / $1,621.86	Professional		$1,149.24	$1,351.87	$1,621.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $860.92 / $1,126.77 / $1,404.20	Facility		$860.92	$1,126.77	$1,404.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $1,102.15 / $1,241.51	Facility		$797.00	$1,102.15	$1,241.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $860.92 / $1,197.22 / $5,217.00	Facility		$860.92	$1,197.22	$5,217.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $233.96 / $233.96 / $233.96	Facility	80	$233.96	$233.96	$233.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $198.87 / $198.87 / $198.87	Facility	AS	$198.87	$198.87	$198.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,291.08 / $32,127.26 / $40,172.04	Facility	50	$25,291.08	$32,127.26	$40,172.04
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