Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.53 / $5,116.62 / $13,320.00	Facility		$1,123.53	$5,116.62	$13,320.00
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 $1,050.09 / $1,231.72 / $1,475.66	Professional		$1,050.09	$1,231.72	$1,475.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,061.22 / $1,384.65	Facility		$790.00	$1,061.22	$1,384.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $785.86 / $1,085.40 / $1,136.32	Facility		$785.86	$1,085.40	$1,136.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,129.70 / $5,217.00	Facility		$790.00	$1,129.70	$5,217.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $213.66 / $213.66 / $213.66	Facility	80	$213.66	$213.66	$213.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $181.61 / $181.61 / $181.61	Facility	AS	$181.61	$181.61	$181.61
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