Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $9,972.00 / $32,329.30	Facility		$2,528.00	$9,972.00	$32,329.30
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 $2,222.76 / $2,606.56 / $3,123.54	Professional		$2,222.76	$2,606.56	$3,123.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,605.28 / $2,170.62 / $2,918.05	Facility		$1,605.28	$2,170.62	$2,918.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,675.40 / $2,270.23 / $2,426.07	Facility		$1,675.40	$2,270.23	$2,426.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,604.06 / $2,238.48 / $3,084.01	Facility		$1,604.06	$2,238.48	$3,084.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $456.88 / $456.88 / $456.88	Facility	80	$456.88	$456.88	$456.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $388.34 / $388.34 / $388.34	Facility	AS	$388.34	$388.34	$388.34
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