Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,477.54 / $4,240.85 / $7,920.26	Facility		$3,477.54	$4,240.85	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,738.77 / $1,905.08 / $2,120.42	Facility	52	$1,738.77	$1,905.08	$2,120.42
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 $2,760.94 / $3,625.37 / $4,432.55	Professional		$2,760.94	$3,625.37	$4,432.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,829.29 / $3,112.34 / $4,847.37	Facility		$1,829.29	$3,112.34	$4,847.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,339.28 / $3,363.33 / $3,528.22	Facility		$2,339.28	$3,363.33	$3,528.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,864.51 / $3,549.98 / $4,847.37	Facility		$1,864.51	$3,549.98	$4,847.37
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $672.98 / $672.98 / $672.98	Facility	80	$672.98	$672.98	$672.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $572.03 / $572.03 / $572.03	Facility	AS	$572.03	$572.03	$572.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,122.87 / $9,122.87 / $9,122.87	Facility		$9,122.87	$9,122.87	$9,122.87
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