Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.83 / $2,747.00 / $7,920.26	Facility		$511.83	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.76 / $554.55 / $657.32	Professional		$467.76	$554.55	$657.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.29 / $485.46 / $647.19	Facility		$342.29	$485.46	$647.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.91 / $499.06 / $533.32	Facility		$377.91	$499.06	$533.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.29 / $498.46 / $677.04	Facility		$342.29	$498.46	$677.04
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $100.34 / $100.34 / $100.34	Facility	80	$100.34	$100.34	$100.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $85.29 / $85.29 / $85.29	Facility	AS	$85.29	$85.29	$85.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,385.90 / $1,385.90 / $1,385.90	Facility		$1,385.90	$1,385.90	$1,385.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00