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 / $15,978.56	Facility		$2,747.00	$7,920.26	$15,978.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,603.92 / $1,762.14 / $1,964.04	Facility	52	$1,603.92	$1,762.14	$1,964.04
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 $2,949.63 / $3,470.78 / $4,144.97	Professional		$2,949.63	$3,470.78	$4,144.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,247.89 / $2,890.44 / $3,948.25	Facility		$2,247.89	$2,890.44	$3,948.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,271.34 / $3,123.47 / $3,236.80	Facility		$2,271.34	$3,123.47	$3,236.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,135.50 / $3,079.61 / $4,125.74	Facility		$2,135.50	$3,079.61	$4,125.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $521.14 / $521.14 / $521.14	Facility	AS	$521.14	$521.14	$521.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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