Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.32 / $11,266.00 / $30,593.00	Facility		$927.32	$11,266.00	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $5,022.74	Facility		$1,664.70	$1,664.70	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.05 / $883.77 / $1,092.83	Professional		$673.05	$883.77	$1,092.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $461.05 / $825.93 / $1,161.63	Facility		$461.05	$825.93	$1,161.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.10 / $795.29 / $844.87	Facility		$575.10	$795.29	$844.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.79 / $964.80 / $1,452.89	Facility		$526.79	$964.80	$1,452.89
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $158.03 / $158.03 / $158.03	Facility	80	$158.03	$158.03	$158.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $134.33 / $134.33 / $134.33	Facility	AS	$134.33	$134.33	$134.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00