Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.67 / $12,022.49 / $22,011.13	Facility		$1,464.67	$12,022.49	$22,011.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,059.63	Facility		$2,059.63	$2,059.63	$2,059.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $955.57 / $1,254.75 / $1,542.26	Professional		$955.57	$1,254.75	$1,542.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $675.39 / $1,107.04 / $1,650.76	Facility		$675.39	$1,107.04	$1,650.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $842.06 / $1,143.02 / $1,218.06	Facility		$842.06	$1,143.02	$1,218.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.57 / $1,202.66 / $1,642.01	Facility		$707.57	$1,202.66	$1,642.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $231.39 / $231.39 / $231.39	Facility	80	$231.39	$231.39	$231.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $196.68 / $196.68 / $196.68	Facility	AS	$196.68	$196.68	$196.68
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