Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
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 $2,930.11 / $3,446.50 / $4,117.54	Professional		$2,930.11	$3,446.50	$4,117.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,114.25 / $2,869.98 / $3,916.80	Facility		$2,114.25	$2,869.98	$3,916.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,305.73 / $3,101.62 / $3,308.46	Facility		$2,305.73	$3,101.62	$3,308.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,114.25 / $2,896.52 / $4,202.97	Facility		$2,114.25	$2,896.52	$4,202.97
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $620.04 / $620.04 / $620.04	Facility	80	$620.04	$620.04	$620.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $527.04 / $527.04 / $527.04	Facility	AS	$527.04	$527.04	$527.04
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
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