Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.69 / $6,072.60 / $15,341.00	Facility		$283.69	$6,072.60	$15,341.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $141.85 / $154.63 / $172.85	Facility	52	$141.85	$154.63	$172.85
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 $225.09 / $295.56 / $361.50	Professional		$225.09	$295.56	$361.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.06 / $279.45 / $430.40	Facility		$154.06	$279.45	$430.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.36 / $274.19 / $294.80	Facility		$206.36	$274.19	$294.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.44 / $329.18 / $485.06	Facility		$176.44	$329.18	$485.06
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