Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,185.94 / $3,233.94 / $20,400.00	Facility		$2,185.94	$3,233.94	$20,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,320.86 / $1,449.50 / $1,616.97	Facility	52	$1,320.86	$1,449.50	$1,616.97
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 $2,107.79 / $2,767.72 / $3,385.99	Professional		$2,107.79	$2,767.72	$3,385.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.87 / $2,376.05 / $3,669.08	Facility		$1,449.87	$2,376.05	$3,669.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,849.07 / $2,563.42 / $2,692.06	Facility		$1,849.07	$2,563.42	$2,692.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,556.49 / $2,700.27 / $3,669.08	Facility		$1,556.49	$2,700.27	$3,669.08
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $513.02 / $513.02 / $513.02	Facility	80	$513.02	$513.02	$513.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $436.07 / $436.07 / $436.07	Facility	AS	$436.07	$436.07	$436.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,906.46 / $6,906.46 / $6,906.46	Facility		$6,906.46	$6,906.46	$6,906.46
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