Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.79 / $4,884.08 / $14,374.00	Facility		$1,347.79	$4,884.08	$14,374.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.89 / $1,495.65 / $1,794.35	Professional		$1,276.89	$1,495.65	$1,794.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $905.49 / $1,240.00 / $1,632.85	Facility		$905.49	$1,240.00	$1,632.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $927.82 / $1,283.05 / $1,379.53	Facility		$927.82	$1,283.05	$1,379.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $909.89 / $1,358.90 / $7,090.00	Facility		$909.89	$1,358.90	$7,090.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $258.89 / $258.89 / $258.89	Facility	80	$258.89	$258.89	$258.89
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $220.05 / $220.05 / $220.05	Facility	AS	$220.05	$220.05	$220.05
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00