Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.91 / $7,920.26 / $13,746.00	Facility		$1,117.91	$7,920.26	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.52 / $1,414.39 / $1,696.86	Professional		$1,207.52	$1,414.39	$1,696.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $848.41 / $1,176.14 / $1,543.60	Facility		$848.41	$1,176.14	$1,543.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $881.31 / $1,211.35 / $1,295.78	Facility		$881.31	$1,211.35	$1,295.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.98 / $1,277.03 / $5,949.00	Facility		$890.98	$1,277.03	$5,949.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $244.11 / $244.11 / $244.11	Facility	80	$244.11	$244.11	$244.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $207.50 / $207.50 / $207.50	Facility	AS	$207.50	$207.50	$207.50
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00