Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.71 / $6,568.41 / $30,593.00	Facility		$433.71	$6,568.41	$30,593.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $216.85 / $236.56 / $263.42	Facility	52	$216.85	$236.56	$263.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $7,251.72	Facility		$4,375.60	$4,375.60	$7,251.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.45 / $449.67 / $548.79	Professional		$342.45	$449.67	$548.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.54 / $352.45 / $701.12	Facility		$221.54	$352.45	$701.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.05 / $417.17 / $450.24	Facility		$311.05	$417.17	$450.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.02 / $466.32 / $701.12	Facility		$234.02	$466.32	$701.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,475.25 / $17,909.58 / $21,335.22	Facility		$13,475.25	$17,909.58	$21,335.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00