Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,589.17 / $4,362.87 / $7,920.26	Facility		$3,589.17	$4,362.87	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,794.59 / $1,958.49 / $2,181.44	Facility	52	$1,794.59	$1,958.49	$2,181.44
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 $2,835.37 / $3,723.09 / $4,559.43	Professional		$2,835.37	$3,723.09	$4,559.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,827.94 / $3,196.10 / $5,000.09	Facility		$1,827.94	$3,196.10	$5,000.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,467.50 / $3,453.98 / $3,629.39	Facility		$2,467.50	$3,453.98	$3,629.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,869.40 / $3,651.59 / $5,000.09	Facility		$1,869.40	$3,651.59	$5,000.09
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $694.31 / $694.31 / $694.31	Facility	80	$694.31	$694.31	$694.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $590.16 / $590.16 / $590.16	Facility	AS	$590.16	$590.16	$590.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,403.25 / $9,403.25 / $9,403.25	Facility		$9,403.25	$9,403.25	$9,403.25
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