Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.13 / $5,649.00 / $15,341.00	Facility		$378.13	$5,649.00	$15,341.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $195.74 / $213.62 / $237.70	Facility	52	$195.74	$213.62	$237.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.58 / $405.19 / $495.24	Professional		$308.58	$405.19	$495.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.83 / $402.67 / $634.08	Facility		$226.83	$402.67	$634.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.10 / $375.90 / $423.13	Facility		$289.10	$375.90	$423.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.81 / $460.68 / $664.80	Facility		$242.81	$460.68	$664.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00