Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $9,972.00 / $20,400.00	Facility		$1,794.00	$9,972.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.51 / $1,516.55 / $1,685.05	Professional		$729.51	$1,516.55	$1,685.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.81 / $1,498.90 / $3,013.75	Facility		$781.81	$1,498.90	$3,013.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,180.53 / $1,444.52 / $2,131.27	Facility		$1,180.53	$1,444.52	$2,131.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $885.72 / $1,698.30 / $2,382.10	Facility		$885.72	$1,698.30	$2,382.10
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $296.66 / $296.66 / $296.66	Facility	80	$296.66	$296.66	$296.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $19,565.63	Facility		$10,762.34	$13,653.30	$19,565.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00