Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.82 / $4,283.46 / $13,919.97	Facility		$733.82	$4,283.46	$13,919.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.49 / $825.18 / $989.98	Professional		$704.49	$825.18	$989.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.16 / $707.62 / $915.45	Facility		$524.16	$707.62	$915.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.41 / $712.21 / $753.08	Facility		$518.41	$712.21	$753.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.16 / $768.69 / $2,450.00	Facility		$524.16	$768.69	$2,450.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $140.43 / $140.43 / $140.43	Facility	80	$140.43	$140.43	$140.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $119.36 / $119.36 / $119.36	Facility	AS	$119.36	$119.36	$119.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00