Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.01 / $5,116.62 / $15,233.93	Facility		$1,082.01	$5,116.62	$15,233.93
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 $1,025.88 / $1,201.64 / $1,441.63	Professional		$1,025.88	$1,201.64	$1,441.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $765.70 / $1,028.79 / $1,387.20	Facility		$765.70	$1,028.79	$1,387.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $789.25 / $1,074.01 / $1,114.21	Facility		$789.25	$1,074.01	$1,114.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.70 / $1,094.95 / $5,217.00	Facility		$765.70	$1,094.95	$5,217.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $207.11 / $207.11 / $207.11	Facility	80	$207.11	$207.11	$207.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $176.04 / $176.04 / $176.04	Facility	AS	$176.04	$176.04	$176.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00