Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,588.07 / $5,633.00 / $17,305.20	Facility		$1,588.07	$5,633.00	$17,305.20
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 $1,350.24 / $1,581.57 / $1,897.43	Professional		$1,350.24	$1,581.57	$1,897.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,004.81 / $1,316.88 / $1,732.30	Facility		$1,004.81	$1,316.88	$1,732.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $985.47 / $1,358.09 / $1,453.23	Facility		$985.47	$1,358.09	$1,453.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,004.81 / $1,430.68 / $2,748.00	Facility		$1,004.81	$1,430.68	$2,748.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $271.48 / $271.48 / $271.48	Facility	80	$271.48	$271.48	$271.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $230.76 / $230.76 / $230.76	Facility	AS	$230.76	$230.76	$230.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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