Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,908.66 / $7,920.26 / $23,856.49	Facility		$2,908.66	$7,920.26	$23,856.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,454.33 / $1,600.20 / $1,786.38	Facility	52	$1,454.33	$1,600.20	$1,786.38
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 $2,685.82 / $3,160.31 / $3,774.26	Professional		$2,685.82	$3,160.31	$3,774.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,037.65 / $2,695.83 / $3,575.95	Facility		$2,037.65	$2,695.83	$3,575.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,059.61 / $2,788.34 / $2,947.33	Facility		$2,059.61	$2,788.34	$2,947.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,037.65 / $2,786.28 / $3,752.47	Facility		$2,037.65	$2,786.28	$3,752.47
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $557.09 / $557.09 / $557.09	Facility	80	$557.09	$557.09	$557.09
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $473.53 / $473.53 / $473.53	Facility	AS	$473.53	$473.53	$473.53
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 $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00