Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.86 / $2,747.00 / $24,066.80	Facility		$1,369.86	$2,747.00	$24,066.80
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 $1,290.45 / $1,566.60 / $2,001.56	Professional		$1,290.45	$1,566.60	$2,001.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $842.22 / $1,293.40 / $1,913.42	Facility		$842.22	$1,293.40	$1,913.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $984.49 / $1,525.22 / $1,668.72	Facility		$984.49	$1,525.22	$1,668.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $843.86 / $1,314.75 / $2,356.58	Facility		$843.86	$1,314.75	$2,356.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $315.29 / $315.29 / $315.29	Facility	80	$315.29	$315.29	$315.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $268.00 / $268.00 / $268.00	Facility	AS	$268.00	$268.00	$268.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
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