Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,795.31 / $6,936.00 / $78,914.74	Facility		$2,795.31	$6,936.00	$78,914.74
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,512.88 / $1,660.74 / $1,848.89	Facility	52	$1,512.88	$1,660.74	$1,848.89
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 $2,408.34 / $3,162.37 / $3,864.38	Professional		$2,408.34	$3,162.37	$3,864.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.00 / $2,714.98 / $4,219.81	Facility		$1,650.00	$2,714.98	$4,219.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,161.84 / $2,933.79 / $3,068.60	Facility		$2,161.84	$2,933.79	$3,068.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,696.18 / $3,109.07 / $4,219.81	Facility		$1,696.18	$3,109.07	$4,219.81
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $585.23 / $585.23 / $585.23	Facility	80	$585.23	$585.23	$585.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $497.44 / $497.44 / $497.44	Facility	AS	$497.44	$497.44	$497.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,923.28 / $7,923.28 / $7,923.28	Facility		$7,923.28	$7,923.28	$7,923.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00