Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.72 / $8,952.00 / $32,689.00	Facility		$1,667.72	$8,952.00	$32,689.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $758.05 / $833.86 / $931.19	Facility	52	$758.05	$833.86	$931.19
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 $1,215.58 / $1,596.18 / $1,957.32	Professional		$1,215.58	$1,596.18	$1,957.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $830.93 / $1,370.29 / $2,104.81	Facility		$830.93	$1,370.29	$2,104.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,079.95 / $1,471.99 / $1,547.70	Facility		$1,079.95	$1,471.99	$1,547.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.66 / $1,552.71 / $2,104.81	Facility		$896.66	$1,552.71	$2,104.81
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $294.48 / $294.48 / $294.48	Facility	80	$294.48	$294.48	$294.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $250.31 / $250.31 / $250.31	Facility	AS	$250.31	$250.31	$250.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,964.32 / $3,964.32 / $3,964.32	Facility		$3,964.32	$3,964.32	$3,964.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00