Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,543.56 / $2,747.00 / $7,920.26	Facility		$1,543.56	$2,747.00	$7,920.26
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 $1,392.53 / $1,652.23 / $1,956.85	Professional		$1,392.53	$1,652.23	$1,956.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,072.24 / $1,447.52 / $1,976.40	Facility		$1,072.24	$1,447.52	$1,976.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,124.52 / $1,486.90 / $1,570.48	Facility		$1,124.52	$1,486.90	$1,570.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,072.24 / $1,477.98 / $2,001.09	Facility		$1,072.24	$1,477.98	$2,001.09
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $300.39 / $300.39 / $300.39	Facility	80	$300.39	$300.39	$300.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $255.33 / $255.33 / $255.33	Facility	AS	$255.33	$255.33	$255.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $35,703.30 / $77,071.50 / $98,938.59	Facility	50	$35,703.30	$77,071.50	$98,938.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00