Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,835.33 / $9,338.46 / $34,119.46	Facility		$1,835.33	$9,338.46	$34,119.46
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 $1,563.61 / $1,831.49 / $2,197.27	Professional		$1,563.61	$1,831.49	$2,197.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $915.19 / $1,472.40 / $1,934.73	Facility		$915.19	$1,472.40	$1,934.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,112.90 / $1,549.04 / $1,684.38	Facility		$1,112.90	$1,549.04	$1,684.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,002.29 / $1,613.70 / $2,896.54	Facility		$1,002.29	$1,613.70	$2,896.54
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $315.42 / $315.42 / $315.42	Facility	80	$315.42	$315.42	$315.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $268.11 / $268.11 / $268.11	Facility	AS	$268.11	$268.11	$268.11
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