Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,437.11 / $7,920.26 / $18,874.64	Facility		$2,437.11	$7,920.26	$18,874.64
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,827.83 / $2,017.40 / $2,254.80	Facility	54	$1,827.83	$2,017.40	$2,254.80
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 $2,266.86 / $2,659.91 / $3,185.51	Professional		$2,266.86	$2,659.91	$3,185.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,651.08 / $2,351.76 / $2,991.15	Facility		$1,651.08	$2,351.76	$2,991.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,719.49 / $2,328.52 / $2,475.65	Facility		$1,719.49	$2,328.52	$2,475.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,640.25 / $2,383.92 / $3,148.37	Facility		$1,640.25	$2,383.92	$3,148.37
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $2,335.13 / $2,335.13 / $2,335.13	Facility	54	$2,335.13	$2,335.13	$2,335.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $467.03 / $467.03 / $467.03	Facility	80	$467.03	$467.03	$467.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $396.97 / $396.97 / $396.97	Facility	AS	$396.97	$396.97	$396.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $14,096.15 / $30,428.87 / $39,062.28	Facility	50	$14,096.15	$30,428.87	$39,062.28
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