Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,990.34 / $5,649.00 / $15,341.00	Facility		$1,990.34	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.98 / $1,887.92 / $2,097.69	Professional		$905.98	$1,887.92	$2,097.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $937.22 / $1,433.13 / $2,546.33	Facility		$937.22	$1,433.13	$2,546.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,682.70 / $1,804.31	Facility		$1,236.00	$1,682.70	$1,804.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,063.61 / $2,097.44 / $4,681.00	Facility		$1,063.61	$2,097.44	$4,681.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $335.59 / $335.59 / $335.59	Facility	80	$335.59	$335.59	$335.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $99.92 / $285.25 / $285.25	Facility	AS	$99.92	$285.25	$285.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00