Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $23,101.88	Facility		$2,528.00	$7,920.26	$23,101.88
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 $2,364.28 / $2,776.28 / $3,322.41	Professional		$2,364.28	$2,776.28	$3,322.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,710.12 / $2,334.96 / $3,135.65	Facility		$1,710.12	$2,334.96	$3,135.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,825.11 / $2,498.42 / $2,632.43	Facility		$1,825.11	$2,498.42	$2,632.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,710.12 / $2,342.86 / $3,341.44	Facility		$1,710.12	$2,342.86	$3,341.44
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $493.88 / $493.88 / $493.88	Facility	80	$493.88	$493.88	$493.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $419.80 / $419.80 / $419.80	Facility	AS	$419.80	$419.80	$419.80
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