Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.12 / $8,369.76 / $30,593.00	Facility		$400.12	$8,369.76	$30,593.00
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 $289.74 / $380.45 / $461.98	Professional		$289.74	$380.45	$461.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.20 / $355.47 / $516.48	Facility		$205.20	$355.47	$516.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $265.51 / $352.95 / $369.17	Facility		$265.51	$352.95	$369.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.66 / $389.20 / $516.48	Facility		$211.66	$389.20	$516.48
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $70.92 / $70.92 / $70.92	Facility	80	$70.92	$70.92	$70.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $60.28 / $60.28 / $60.28	Facility	AS	$60.28	$60.28	$60.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $970.67 / $970.67 / $970.67	Facility		$970.67	$970.67	$970.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00