Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,935.10 / $13,880.00 / $45,575.78	Facility		$2,935.10	$13,880.00	$45,575.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,395.21 / $3,145.14 / $3,837.77	Professional		$2,395.21	$3,145.14	$3,837.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,670.18 / $3,014.55 / $4,406.43	Facility		$1,670.18	$3,014.55	$4,406.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,169.59 / $2,917.82 / $3,094.68	Facility		$2,169.59	$2,917.82	$3,094.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,773.83 / $3,248.74 / $4,289.92	Facility		$1,773.83	$3,248.74	$4,289.92
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,299.59 / $2,299.59 / $2,299.59	Facility	62	$2,299.59	$2,299.59	$2,299.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $588.70 / $588.70 / $588.70	Facility	80	$588.70	$588.70	$588.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $500.39 / $500.39 / $500.39	Facility	AS	$500.39	$500.39	$500.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $32,532.53 / $38,534.69	Facility		$23,713.19	$32,532.53	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00