Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,673.53 / $4,466.58 / $7,920.26	Facility		$3,673.53	$4,466.58	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,836.77 / $2,006.81 / $2,233.29	Facility	52	$1,836.77	$2,006.81	$2,233.29
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 $2,908.04 / $3,818.52 / $4,681.79	Professional		$2,908.04	$3,818.52	$4,681.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,989.99 / $3,277.94 / $5,135.22	Facility		$1,989.99	$3,277.94	$5,135.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,301.94 / $3,542.53 / $3,703.76	Facility		$2,301.94	$3,542.53	$3,703.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,043.86 / $3,722.59 / $5,135.22	Facility		$2,043.86	$3,722.59	$5,135.22
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $707.15 / $707.15 / $707.15	Facility	80	$707.15	$707.15	$707.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $601.08 / $601.08 / $601.08	Facility	AS	$601.08	$601.08	$601.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,628.61 / $9,628.61 / $9,628.61	Facility		$9,628.61	$9,628.61	$9,628.61
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