Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.35 / $7,920.26 / $14,162.17	Facility		$511.35	$7,920.26	$14,162.17
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $251.67 / $285.88 / $320.33	Facility	52	$251.67	$285.88	$320.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,400.80	Facility		$2,059.63	$2,059.63	$2,400.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.30 / $547.95 / $680.87	Professional		$417.30	$547.95	$680.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $284.63 / $470.58 / $712.71	Facility		$284.63	$470.58	$712.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $351.26 / $482.40 / $521.26	Facility		$351.26	$482.40	$521.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.29 / $541.47 / $896.39	Facility		$312.29	$541.47	$896.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00