Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.48 / $7,920.26 / $20,400.00	Facility		$1,894.48	$7,920.26	$20,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $863.35 / $947.24 / $1,062.17	Facility	52	$863.35	$947.24	$1,062.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,385.88 / $1,978.57 / $2,227.67	Professional		$1,385.88	$1,978.57	$2,227.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.92 / $1,831.35 / $2,627.13	Facility		$1,221.92	$1,831.35	$2,627.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.53 / $1,632.79 / $1,729.27	Facility		$1,202.53	$1,632.79	$1,729.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.92 / $2,069.19 / $5,626.00	Facility		$1,221.92	$2,069.19	$5,626.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $324.54 / $324.54 / $324.54	Facility	80	$324.54	$324.54	$324.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $275.86 / $275.86 / $275.86	Facility	AS	$275.86	$275.86	$275.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49,533.96 / $65,887.53 / $75,513.42	Facility		$49,533.96	$65,887.53	$75,513.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $30,636.00 / $55,640.00	Facility		$3,960.00	$30,636.00	$55,640.00