Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.80 / $2,792.00 / $14,587.82	Facility		$1,239.80	$2,792.00	$14,587.82
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 $1,329.29 / $1,557.80 / $1,868.92	Professional		$1,329.29	$1,557.80	$1,868.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $719.85 / $1,258.56 / $1,670.79	Facility		$719.85	$1,258.56	$1,670.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $962.85 / $1,314.00 / $1,439.16	Facility		$962.85	$1,314.00	$1,439.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $779.34 / $1,380.92 / $2,474.85	Facility		$779.34	$1,380.92	$2,474.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $271.86 / $271.86 / $271.86	Facility	80	$271.86	$271.86	$271.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $231.08 / $231.08 / $231.08	Facility	AS	$231.08	$231.08	$231.08
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00