Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,769.83 / $2,747.00 / $7,920.26	Facility		$1,769.83	$2,747.00	$7,920.26
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 $1,600.71 / $1,898.25 / $2,249.40	Professional		$1,600.71	$1,898.25	$2,249.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,147.71 / $1,654.62 / $2,233.98	Facility		$1,147.71	$1,654.62	$2,233.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.77 / $1,708.29 / $1,798.28	Facility		$1,288.77	$1,708.29	$1,798.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,147.71 / $1,660.98 / $2,296.28	Facility		$1,147.71	$1,660.98	$2,296.28
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $343.30 / $343.30 / $343.30	Facility	80	$343.30	$343.30	$343.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $291.80 / $291.80 / $291.80	Facility	AS	$291.80	$291.80	$291.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $49,245.00	Facility		$3,340.00	$26,100.00	$49,245.00