Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.38 / $2,747.00 / $13,320.00	Facility		$1,080.38	$2,747.00	$13,320.00
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 $1,006.47 / $1,258.77 / $1,656.98	Professional		$1,006.47	$1,258.77	$1,656.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.84 / $1,058.66 / $1,796.95	Facility		$695.84	$1,058.66	$1,796.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.61 / $1,338.20 / $1,442.51	Facility		$846.61	$1,338.20	$1,442.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $695.84 / $1,058.66 / $1,778.84	Facility		$695.84	$1,058.66	$1,778.84
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $268.91 / $268.91 / $268.91	Facility	80	$268.91	$268.91	$268.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $228.57 / $228.57 / $228.57	Facility	AS	$228.57	$228.57	$228.57
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