Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.02 / $6,636.70 / $20,400.00	Facility		$741.02	$6,636.70	$20,400.00
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 $594.10 / $780.11 / $957.84	Professional		$594.10	$780.11	$957.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.58 / $670.78 / $1,015.38	Facility		$404.58	$670.78	$1,015.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $516.96 / $709.53 / $757.10	Facility		$516.96	$709.53	$757.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.32 / $762.89 / $1,301.95	Facility		$454.32	$762.89	$1,301.95
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $143.63 / $143.63 / $143.63	Facility	80	$143.63	$143.63	$143.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $122.09 / $122.09 / $122.09	Facility	AS	$122.09	$122.09	$122.09
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