Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,512.33 / $7,920.26 / $24,703.36	Facility		$2,512.33	$7,920.26	$24,703.36
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 $2,120.33 / $2,488.96 / $2,979.60	Professional		$2,120.33	$2,488.96	$2,979.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,589.01 / $2,072.66 / $2,816.05	Facility		$1,589.01	$2,072.66	$2,816.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,619.20 / $2,216.12 / $2,317.53	Facility		$1,619.20	$2,216.12	$2,317.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,571.64 / $2,099.52 / $2,945.86	Facility		$1,571.64	$2,099.52	$2,945.86
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $439.14 / $439.14 / $439.14	Facility	80	$439.14	$439.14	$439.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $373.27 / $373.27 / $373.27	Facility	AS	$373.27	$373.27	$373.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $50,315.01 / $66,879.89 / $78,186.41	Facility	50	$50,315.01	$66,879.89	$78,186.41
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