Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.87 / $6,019.00 / $20,400.00	Facility		$1,440.87	$6,019.00	$20,400.00
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 $1,358.72 / $1,591.65 / $1,909.34	Professional		$1,358.72	$1,591.65	$1,909.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $996.78 / $1,409.60 / $1,794.35	Facility		$996.78	$1,409.60	$1,794.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,021.33 / $1,412.36 / $1,472.88	Facility		$1,021.33	$1,412.36	$1,472.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.48 / $1,520.76 / $3,397.00	Facility		$1,034.48	$1,520.76	$3,397.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $278.29 / $278.29 / $278.29	Facility	80	$278.29	$278.29	$278.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $236.54 / $236.54 / $236.54	Facility	AS	$236.54	$236.54	$236.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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