Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.08 / $9,564.45 / $15,615.28	Facility		$1,231.08	$9,564.45	$15,615.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,507.48 / $14,507.48 / $14,507.48	Facility	50	$14,507.48	$14,507.48	$14,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,901.32 / $2,901.32 / $3,250.41	Facility		$2,901.32	$2,901.32	$3,250.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.65 / $1,319.19 / $1,620.85	Professional		$1,004.65	$1,319.19	$1,620.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $688.45 / $1,132.51 / $1,726.24	Facility		$688.45	$1,132.51	$1,726.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $863.38 / $1,201.31 / $1,282.38	Facility		$863.38	$1,201.31	$1,282.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $769.12 / $1,277.48 / $2,205.23	Facility		$769.12	$1,277.48	$2,205.23
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $243.73 / $243.73 / $243.73	Facility	80	$243.73	$243.73	$243.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $207.17 / $207.17 / $207.17	Facility	AS	$207.17	$207.17	$207.17
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