Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.87 / $8,878.56 / $32,689.00	Facility		$1,413.87	$8,878.56	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $5,459.71	Facility		$4,375.60	$4,375.60	$5,459.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,136.91 / $1,492.87 / $1,832.55	Professional		$1,136.91	$1,492.87	$1,832.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $778.09 / $1,315.14 / $1,954.87	Facility		$778.09	$1,315.14	$1,954.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $998.95 / $1,361.44 / $1,448.54	Facility		$998.95	$1,361.44	$1,448.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $872.47 / $1,550.20 / $2,490.98	Facility		$872.47	$1,550.20	$2,490.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $275.33 / $275.33 / $275.33	Facility	80	$275.33	$275.33	$275.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $234.03 / $234.03 / $234.03	Facility	AS	$234.03	$234.03	$234.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $28,321.84	Facility		$8,763.99	$12,680.11	$28,321.84
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