Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.60 / $7,911.29 / $13,746.00	Facility		$671.60	$7,911.29	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $4,924.56	Facility		$2,059.63	$2,059.63	$4,924.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.07 / $719.67 / $884.70	Professional		$548.07	$719.67	$884.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.58 / $618.83 / $948.74	Facility		$370.58	$618.83	$948.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $483.05 / $663.30 / $696.13	Facility		$483.05	$663.30	$696.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $419.99 / $708.04 / $1,197.08	Facility		$419.99	$708.04	$1,197.08
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $131.82 / $131.82 / $131.82	Facility	80	$131.82	$131.82	$131.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.05 / $112.05 / $112.05	Facility	AS	$112.05	$112.05	$112.05
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