Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.67 / $10,955.05 / $22,451.27	Facility		$1,431.67	$10,955.05	$22,451.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,901.32 / $2,901.32 / $4,375.60	Facility		$2,901.32	$2,901.32	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $934.73 / $1,227.38 / $1,510.04	Professional		$934.73	$1,227.38	$1,510.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $637.04 / $1,082.60 / $1,600.36	Facility		$637.04	$1,082.60	$1,600.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $819.29 / $1,114.21 / $1,190.58	Facility		$819.29	$1,114.21	$1,190.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.16 / $1,280.67 / $2,047.40	Facility		$713.16	$1,280.67	$2,047.40
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $225.87 / $225.87 / $225.87	Facility	80	$225.87	$225.87	$225.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $191.99 / $191.99 / $191.99	Facility	AS	$191.99	$191.99	$191.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $13,092.93	Facility		$8,763.99	$12,680.11	$13,092.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,145.99 / $19,020.16 / $19,639.40	Facility	50	$13,145.99	$19,020.16	$19,639.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00