Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,406.61 / $5,116.62 / $23,856.49	Facility		$2,406.61	$5,116.62	$23,856.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,394.02 / $1,537.05 / $1,717.15	Facility	52	$1,394.02	$1,537.05	$1,717.15
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 $2,587.81 / $3,039.38 / $3,636.53	Professional		$2,587.81	$3,039.38	$3,636.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,920.62 / $2,543.34 / $3,417.85	Facility		$1,920.62	$2,543.34	$3,417.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,965.13 / $2,659.96 / $2,830.08	Facility		$1,965.13	$2,659.96	$2,830.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,920.62 / $2,649.60 / $3,600.59	Facility		$1,920.62	$2,649.60	$3,600.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $533.96 / $533.96 / $533.96	Facility	80	$533.96	$533.96	$533.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $453.87 / $453.87 / $453.87	Facility	AS	$453.87	$453.87	$453.87
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $23,765.13 / $56,210.72 / $74,431.64	Facility	50	$23,765.13	$56,210.72	$74,431.64
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