Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.36 / $13,690.00 / $23,473.62	Facility		$1,393.36	$13,690.00	$23,473.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $708.14 / $780.17 / $870.74	Facility	52	$708.14	$780.17	$870.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,924.56	Facility		$4,375.60	$4,375.60	$4,924.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,137.07 / $1,493.07 / $1,832.86	Professional		$1,137.07	$1,493.07	$1,832.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.86 / $1,352.84 / $1,953.02	Facility		$808.86	$1,352.84	$1,953.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,001.46 / $1,360.77 / $1,450.55	Facility		$1,001.46	$1,360.77	$1,450.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.15 / $1,526.95 / $2,295.77	Facility		$847.15	$1,526.95	$2,295.77
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $276.23 / $276.23 / $276.23	Facility	80	$276.23	$276.23	$276.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $234.80 / $234.80 / $234.80	Facility	AS	$234.80	$234.80	$234.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $16,309.00 / $22,988.00	Facility		$2,800.00	$16,309.00	$22,988.00