Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,443.42 / $2,994.54 / $7,920.26	Facility		$2,443.42	$2,994.54	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,221.72 / $1,342.85 / $1,497.27	Facility	52	$1,221.72	$1,342.85	$1,497.27
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 $1,952.30 / $2,563.54 / $3,136.75	Professional		$1,952.30	$2,563.54	$3,136.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.87 / $2,200.77 / $3,399.73	Facility		$1,338.87	$2,200.77	$3,399.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,693.03 / $2,375.15 / $2,490.39	Facility		$1,693.03	$2,375.15	$2,490.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,440.44 / $2,499.11 / $3,399.73	Facility		$1,440.44	$2,499.11	$3,399.73
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $474.22 / $474.22 / $474.22	Facility	80	$474.22	$474.22	$474.22
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $403.09 / $403.09 / $403.09	Facility	AS	$403.09	$403.09	$403.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,393.65 / $6,393.65 / $6,393.65	Facility		$6,393.65	$6,393.65	$6,393.65
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