Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,252.16 / $3,974.94 / $7,920.26	Facility		$3,252.16	$3,974.94	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,626.08 / $1,784.43 / $1,987.47	Facility	52	$1,626.08	$1,784.43	$1,987.47
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 $2,587.78 / $3,397.99 / $4,150.80	Professional		$2,587.78	$3,397.99	$4,150.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,770.45 / $2,917.13 / $4,543.77	Facility		$1,770.45	$2,917.13	$4,543.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,297.33 / $3,152.38 / $3,297.74	Facility		$2,297.33	$3,152.38	$3,297.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $3,345.33 / $4,543.77	Facility		$1,820.00	$3,345.33	$4,543.77
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $628.14 / $628.14 / $628.14	Facility	80	$628.14	$628.14	$628.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $533.91 / $533.91 / $533.91	Facility	AS	$533.91	$533.91	$533.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.04 / $8,539.04 / $8,539.04	Facility		$8,539.04	$8,539.04	$8,539.04
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