Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.39 / $7,920.26 / $13,746.00	Facility		$1,056.39	$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 $894.81 / $1,127.43 / $1,483.54	Professional		$894.81	$1,127.43	$1,483.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.30 / $879.92 / $1,345.41	Facility		$592.30	$879.92	$1,345.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $717.36 / $1,122.88 / $1,219.40	Facility		$717.36	$1,122.88	$1,219.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.30 / $906.32 / $1,628.13	Facility		$592.30	$906.32	$1,628.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $229.47 / $229.47 / $229.47	Facility	80	$229.47	$229.47	$229.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $195.05 / $195.05 / $195.05	Facility	AS	$195.05	$195.05	$195.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00