Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$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 $2,260.67 / $2,661.04 / $3,176.81	Professional		$2,260.67	$2,661.04	$3,176.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,720.61 / $2,322.82 / $3,008.15	Facility		$1,720.61	$2,322.82	$3,008.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,733.06 / $2,348.83 / $2,485.03	Facility		$1,733.06	$2,348.83	$2,485.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,720.61 / $2,350.14 / $3,168.11	Facility		$1,720.61	$2,350.14	$3,168.11
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $470.88 / $470.88 / $470.88	Facility	80	$470.88	$470.88	$470.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $400.25 / $400.25 / $400.25	Facility	AS	$400.25	$400.25	$400.25
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