Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,271.82 / $3,971.83 / $7,920.26	Facility		$3,271.82	$3,971.83	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,635.91 / $1,785.41 / $1,985.92	Facility	52	$1,635.91	$1,785.41	$1,985.92
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 $2,583.55 / $3,392.43 / $4,149.29	Professional		$2,583.55	$3,392.43	$4,149.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.63 / $2,912.35 / $4,558.58	Facility		$1,787.63	$2,912.35	$4,558.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,103.33 / $3,147.22 / $3,305.78	Facility		$2,103.33	$3,147.22	$3,305.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,834.82 / $3,338.54 / $4,558.58	Facility		$1,834.82	$3,338.54	$4,558.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $632.76 / $632.76 / $632.76	Facility	80	$632.76	$632.76	$632.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $537.85 / $537.85 / $537.85	Facility	AS	$537.85	$537.85	$537.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,574.52 / $8,574.52 / $8,574.52	Facility		$8,574.52	$8,574.52	$8,574.52
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