Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,981.51 / $7,920.26 / $20,400.00	Facility		$1,981.51	$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 $1,831.80 / $2,152.56 / $2,574.14	Professional		$1,831.80	$2,152.56	$2,574.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,390.15 / $1,863.69 / $2,419.10	Facility		$1,390.15	$1,863.69	$2,419.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,392.45 / $1,885.75 / $2,009.33	Facility		$1,392.45	$1,885.75	$2,009.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,390.15 / $1,900.30 / $2,558.85	Facility		$1,390.15	$1,900.30	$2,558.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $379.53 / $379.53 / $379.53	Facility	80	$379.53	$379.53	$379.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $322.60 / $322.60 / $322.60	Facility	AS	$322.60	$322.60	$322.60
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