Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.88 / $7,920.26 / $20,400.00	Facility		$1,799.88	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.70 / $1,696.45 / $1,885.57	Professional		$817.70	$1,696.45	$1,885.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $817.70 / $1,267.44 / $2,108.52	Facility		$817.70	$1,267.44	$2,108.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,039.74 / $1,437.82 / $1,617.38	Facility		$1,039.74	$1,437.82	$1,617.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.00 / $1,804.68 / $7,339.00	Facility		$958.00	$1,804.68	$7,339.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $304.88 / $304.88 / $304.88	Facility	80	$304.88	$304.88	$304.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,220.90 / $17,916.71 / $21,710.84	Facility	50	$13,220.90	$17,916.71	$21,710.84
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