Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,777.77 / $11,652.00 / $29,865.61	Facility		$3,777.77	$11,652.00	$29,865.61
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,888.89 / $2,076.01 / $2,314.13	Facility	52	$1,888.89	$2,076.01	$2,314.13
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 $3,471.69 / $4,092.02 / $4,878.60	Professional		$3,471.69	$4,092.02	$4,878.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,642.23 / $3,541.77 / $4,648.64	Facility		$2,642.23	$3,541.77	$4,648.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,680.74 / $3,628.05 / $3,821.68	Facility		$2,680.74	$3,628.05	$3,821.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,642.23 / $3,601.58 / $4,870.58	Facility		$2,642.23	$3,601.58	$4,870.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $723.60 / $723.60 / $723.60	Facility	80	$723.60	$723.60	$723.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $615.05 / $615.05 / $615.05	Facility	AS	$615.05	$615.05	$615.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,843.42 / $37,473.81 / $51,188.76	Facility		$15,843.42	$37,473.81	$51,188.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00