Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $7,283.00 / $26,588.91	Facility		$724.44	$7,283.00	$26,588.91
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 $1,717.34 / $2,255.03 / $2,739.00	Professional		$1,717.34	$2,255.03	$2,739.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.06 / $2,079.51 / $3,492.37	Facility		$1,191.06	$2,079.51	$3,492.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.95 / $2,092.04 / $2,213.01	Facility		$1,548.95	$2,092.04	$2,213.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,265.98 / $2,533.19 / $3,174.68	Facility		$1,265.98	$2,533.19	$3,174.68
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $424.37 / $424.37 / $424.37	Facility	80	$424.37	$424.37	$424.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $360.71 / $360.71 / $360.71	Facility	AS	$360.71	$360.71	$360.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,680.30 / $11,200.37 / $35,837.29	Facility		$5,680.30	$11,200.37	$35,837.29
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