Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,403.00 / $2,939.82 / $7,920.26	Facility		$2,403.00	$2,939.82	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,201.50 / $1,318.05 / $1,469.91	Facility	52	$1,201.50	$1,318.05	$1,469.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $480.60 / $527.22 / $587.96	Facility	53	$480.60	$527.22	$587.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,917.18 / $2,517.44 / $3,076.80	Professional		$1,917.18	$2,517.44	$3,076.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.01 / $2,161.19 / $3,342.34	Facility		$1,322.01	$2,161.19	$3,342.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,689.94 / $2,335.48 / $2,451.53	Facility		$1,689.94	$2,335.48	$2,451.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,375.55 / $2,455.96 / $3,342.34	Facility		$1,375.55	$2,455.96	$3,342.34
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $467.15 / $467.15 / $467.15	Facility	80	$467.15	$467.15	$467.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $397.08 / $397.08 / $397.08	Facility	AS	$397.08	$397.08	$397.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,299.58 / $6,299.58 / $6,299.58	Facility		$6,299.58	$6,299.58	$6,299.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00