Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.58 / $2,747.00 / $20,400.00	Facility		$1,501.58	$2,747.00	$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 $1,414.16 / $1,656.44 / $1,987.26	Professional		$1,414.16	$1,656.44	$1,987.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,398.96 / $2,062.23	Facility		$1,026.00	$1,398.96	$2,062.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.00 / $1,437.82 / $1,533.63	Facility		$1,047.00	$1,437.82	$1,533.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,398.96 / $1,947.89	Facility		$1,026.00	$1,398.96	$1,947.89
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $288.18 / $288.18 / $288.18	Facility	80	$288.18	$288.18	$288.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $244.95 / $244.95 / $244.95	Facility	AS	$244.95	$244.95	$244.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
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