Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.71 / $2,792.00 / $12,076.70	Facility		$1,124.71	$2,792.00	$12,076.70
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 $1,219.41 / $1,429.64 / $1,713.58	Professional		$1,219.41	$1,429.64	$1,713.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $914.40 / $1,234.44 / $1,594.60	Facility		$914.40	$1,234.44	$1,594.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $907.47 / $1,254.24 / $1,319.90	Facility		$907.47	$1,254.24	$1,319.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $914.40 / $1,307.58 / $2,402.00	Facility		$914.40	$1,307.58	$2,402.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $247.07 / $247.07 / $247.07	Facility	80	$247.07	$247.07	$247.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $210.01 / $210.01 / $210.01	Facility	AS	$210.01	$210.01	$210.01
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