Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.91 / $7,920.26 / $30,593.00	Facility		$572.91	$7,920.26	$30,593.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $262.70 / $286.45 / $318.27	Facility	52	$262.70	$286.45	$318.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,341.30	Facility		$1,487.79	$1,487.79	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.90 / $543.48 / $663.55	Professional		$413.90	$543.48	$663.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $267.76 / $425.99 / $850.26	Facility		$267.76	$425.99	$850.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.52 / $504.21 / $527.28	Facility		$374.52	$504.21	$527.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.07 / $565.52 / $850.26	Facility		$282.07	$565.52	$850.26
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