Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.15 / $9,338.46 / $20,400.00	Facility		$1,514.15	$9,338.46	$20,400.00
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 $1,431.12 / $1,676.31 / $2,011.09	Professional		$1,431.12	$1,676.31	$2,011.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,034.36 / $1,395.18 / $1,881.05	Facility		$1,034.36	$1,395.18	$1,881.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,074.14 / $1,479.36 / $1,553.73	Facility		$1,074.14	$1,479.36	$1,553.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,078.14 / $1,541.74 / $2,748.00	Facility		$1,078.14	$1,541.74	$2,748.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $292.16 / $292.16 / $292.16	Facility	80	$292.16	$292.16	$292.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $248.34 / $248.34 / $248.34	Facility	AS	$248.34	$248.34	$248.34
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00