Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,786.99 / $10,180.24 / $22,070.64	Facility		$1,786.99	$10,180.24	$22,070.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $21,561.00 / $21,561.00 / $21,561.00	Facility	50	$21,561.00	$21,561.00	$21,561.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,689.59 / $1,979.06 / $2,374.31	Professional		$1,689.59	$1,979.06	$2,374.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,252.56 / $1,706.37 / $2,346.00	Facility		$1,252.56	$1,706.37	$2,346.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,366.29 / $1,776.48 / $1,959.08	Facility		$1,366.29	$1,776.48	$1,959.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,252.56 / $1,752.74 / $2,362.35	Facility		$1,252.56	$1,752.74	$2,362.35
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $372.59 / $372.59 / $372.59	Facility	80	$372.59	$372.59	$372.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $316.70 / $316.70 / $316.70	Facility	AS	$316.70	$316.70	$316.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,291.08 / $33,904.28 / $40,172.04	Facility	50	$25,291.08	$33,904.28	$40,172.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00