Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,022.06 / $11,652.00 / $23,856.49	Facility		$3,022.06	$11,652.00	$23,856.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,511.03 / $1,662.01 / $1,854.78	Facility	52	$1,511.03	$1,662.01	$1,854.78
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 $2,788.21 / $3,281.79 / $3,918.15	Professional		$2,788.21	$3,281.79	$3,918.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,116.52 / $2,805.54 / $3,715.35	Facility		$2,116.52	$2,805.54	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,139.55 / $2,896.41 / $3,060.56	Facility		$2,139.55	$2,896.41	$3,060.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,116.52 / $2,892.92 / $3,896.63	Facility		$2,116.52	$2,892.92	$3,896.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $579.05 / $579.05 / $579.05	Facility	80	$579.05	$579.05	$579.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $492.20 / $492.20 / $492.20	Facility	AS	$492.20	$492.20	$492.20
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