Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,055.96 / $2,747.00 / $7,920.26	Facility		$2,055.96	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,027.99 / $1,126.44 / $1,256.07	Facility	52	$1,027.99	$1,126.44	$1,256.07
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 $1,638.24 / $2,151.16 / $2,630.79	Professional		$1,638.24	$2,151.16	$2,630.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.57 / $1,846.75 / $2,858.25	Facility		$1,012.57	$1,846.75	$2,858.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,384.60 / $1,995.68 / $2,093.08	Facility		$1,384.60	$1,995.68	$2,093.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.30 / $2,061.85 / $2,858.25	Facility		$1,013.30	$2,061.85	$2,858.25
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $399.06 / $399.06 / $399.06	Facility	80	$399.06	$399.06	$399.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $339.20 / $339.20 / $339.20	Facility	AS	$339.20	$339.20	$339.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,382.14 / $5,382.14 / $5,382.14	Facility		$5,382.14	$5,382.14	$5,382.14
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