Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.31 / $2,747.00 / $13,746.00	Facility		$1,292.31	$2,747.00	$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 $1,398.96 / $1,638.63 / $1,965.89	Professional		$1,398.96	$1,638.63	$1,965.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,006.57 / $1,362.14 / $1,830.05	Facility		$1,006.57	$1,362.14	$1,830.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,041.19 / $1,437.82 / $1,508.84	Facility		$1,041.19	$1,437.82	$1,508.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,042.66 / $1,502.44 / $5,949.00	Facility		$1,042.66	$1,502.44	$5,949.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $283.68 / $283.68 / $283.68	Facility	80	$283.68	$283.68	$283.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $241.13 / $241.13 / $241.13	Facility	AS	$241.13	$241.13	$241.13
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00