Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,103.71 / $5,116.62 / $20,400.00	Facility		$2,103.71	$5,116.62	$20,400.00
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 $2,475.78 / $2,903.61 / $3,479.09	Professional		$2,475.78	$2,903.61	$3,479.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.99 / $2,418.00 / $3,250.40	Facility		$1,768.99	$2,418.00	$3,250.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,867.75 / $2,530.27 / $2,702.78	Facility		$1,867.75	$2,530.27	$2,702.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,768.99 / $2,487.60 / $3,436.69	Facility		$1,768.99	$2,487.60	$3,436.69
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $509.04 / $509.04 / $509.04	Facility	80	$509.04	$509.04	$509.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $432.68 / $432.68 / $432.68	Facility	AS	$432.68	$432.68	$432.68
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $14,096.15 / $30,428.87 / $39,062.28	Facility	50	$14,096.15	$30,428.87	$39,062.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00