Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.30 / $11,377.08 / $42,921.00	Facility		$1,285.30	$11,377.08	$42,921.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,341.30	Facility		$2,341.30	$2,341.30	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.57 / $1,350.60 / $1,658.05	Professional		$1,028.57	$1,350.60	$1,658.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $729.70 / $1,223.88 / $1,785.48	Facility		$729.70	$1,223.88	$1,785.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $913.77 / $1,252.99 / $1,314.54	Facility		$913.77	$1,252.99	$1,314.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $762.21 / $1,328.30 / $1,785.48	Facility		$762.21	$1,328.30	$1,785.48
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.15 / $250.15 / $250.15	Facility	80	$250.15	$250.15	$250.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $212.63 / $212.63 / $212.63	Facility	AS	$212.63	$212.63	$212.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
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