Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.72 / $7,920.26 / $11,029.52	Facility		$1,548.72	$7,920.26	$11,029.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $697.61 / $697.61 / $774.36	Facility	52	$697.61	$697.61	$774.36
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $279.04 / $279.04 / $309.74	Facility	53	$279.04	$279.04	$309.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.04 / $1,422.77 / $1,619.63	Professional		$1,006.04	$1,422.77	$1,619.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $1,141.33 / $1,715.98	Facility		$617.00	$1,141.33	$1,715.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $901.30 / $1,225.53 / $1,307.17	Facility		$901.30	$1,225.53	$1,307.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $1,244.68 / $1,715.98	Facility		$617.00	$1,244.68	$1,715.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $22,177.00 / $68,672.00	Facility		$3,028.00	$22,177.00	$68,672.00