Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.16 / $5,116.62 / $20,400.00	Facility		$842.16	$5,116.62	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.51 / $834.44 / $999.85	Professional		$711.51	$834.44	$999.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $515.95 / $738.42 / $1,072.77	Facility		$515.95	$738.42	$1,072.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $538.28 / $739.01 / $782.56	Facility		$538.28	$739.01	$782.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.95 / $823.99 / $2,402.00	Facility		$515.95	$823.99	$2,402.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $124.39 / $124.39 / $124.39	Facility	AS	$124.39	$124.39	$124.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46,206.43 / $57,880.41 / $70,632.23	Facility		$46,206.43	$57,880.41	$70,632.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00