Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,996.82 / $11,652.00 / $59,252.00	Facility		$2,996.82	$11,652.00	$59,252.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,738.82 / $1,913.99 / $2,136.46	Facility	52	$1,738.82	$1,913.99	$2,136.46
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 $3,210.88 / $3,777.91 / $4,512.10	Professional		$3,210.88	$3,777.91	$4,512.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,436.44 / $3,214.02 / $4,268.70	Facility		$2,436.44	$3,214.02	$4,268.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,457.87 / $3,326.09 / $3,524.87	Facility		$2,457.87	$3,326.09	$3,524.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,436.44 / $3,331.26 / $4,487.85	Facility		$2,436.44	$3,331.26	$4,487.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $666.17 / $666.17 / $666.17	Facility	80	$666.17	$666.17	$666.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $566.24 / $566.24 / $566.24	Facility	AS	$566.24	$566.24	$566.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $49,245.00	Facility		$3,340.00	$26,100.00	$49,245.00