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 $1,729.87 / $1,901.48 / $2,118.94	Facility	52	$1,729.87	$1,901.48	$2,118.94
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 $3,180.37 / $3,744.22 / $4,469.22	Professional		$3,180.37	$3,744.22	$4,469.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,423.26 / $3,117.98 / $4,263.60	Facility		$2,423.26	$3,117.98	$4,263.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,453.51 / $3,369.54 / $3,492.04	Facility		$2,453.51	$3,369.54	$3,492.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,302.10 / $3,319.87 / $4,452.68	Facility		$2,302.10	$3,319.87	$4,452.68
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $661.54 / $661.54 / $661.54	Facility	80	$661.54	$661.54	$661.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $562.30 / $562.30 / $562.30	Facility	AS	$562.30	$562.30	$562.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,843.42 / $37,473.81 / $49,621.09	Facility		$15,843.42	$37,473.81	$49,621.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00