Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.83 / $8,619.44 / $19,787.55	Facility		$715.83	$8,619.44	$19,787.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $4,924.56	Facility		$1,664.70	$1,664.70	$4,924.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.66 / $688.94 / $847.37	Professional		$524.66	$688.94	$847.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.02 / $591.48 / $895.98	Facility		$354.02	$591.48	$895.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $455.91 / $626.45 / $665.98	Facility		$455.91	$626.45	$665.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.13 / $670.40 / $1,145.26	Facility		$400.13	$670.40	$1,145.26
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $125.78 / $125.78 / $125.78	Facility	80	$125.78	$125.78	$125.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $106.92 / $106.92 / $106.92	Facility	AS	$106.92	$106.92	$106.92
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 $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00