Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.60 / $7,920.26 / $20,400.00	Facility		$1,925.60	$7,920.26	$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 $1,788.47 / $2,099.67 / $2,513.26	Professional		$1,788.47	$2,099.67	$2,513.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,780.89 / $2,361.30	Facility		$1,350.00	$1,780.89	$2,361.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,357.57 / $1,837.93 / $1,953.72	Facility		$1,357.57	$1,837.93	$1,953.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,847.52 / $2,487.63	Facility		$1,350.00	$1,847.52	$2,487.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $369.00 / $369.00 / $369.00	Facility	80	$369.00	$369.00	$369.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $313.64 / $313.64 / $313.64	Facility	AS	$313.64	$313.64	$313.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,963.77 / $18,493.50 / $25,243.99	Facility		$7,963.77	$18,493.50	$25,243.99
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