Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.17 / $2,824.50 / $15,341.00	Facility		$817.17	$2,824.50	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $890.35 / $1,043.40 / $1,251.16	Professional		$890.35	$1,043.40	$1,251.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $664.37 / $913.56 / $1,343.05	Facility		$664.37	$913.56	$1,343.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $665.22 / $907.18 / $961.45	Facility		$665.22	$907.18	$961.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.37 / $997.33 / $2,919.00	Facility		$664.37	$997.33	$2,919.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $178.97 / $178.97 / $178.97	Facility	80	$178.97	$178.97	$178.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $152.13 / $152.13 / $152.13	Facility	AS	$152.13	$152.13	$152.13
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00