Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $2,747.00 / $41,117.61	Facility		$47.63	$2,747.00	$41,117.61
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $839.72 / $922.02 / $1,032.31	Facility	52	$839.72	$922.02	$1,032.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.64 / $1,763.01 / $2,160.77	Professional		$1,342.64	$1,763.01	$2,160.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $909.16 / $1,513.42 / $2,323.26	Facility		$909.16	$1,513.42	$2,323.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,104.75 / $1,628.10 / $1,710.51	Facility		$1,104.75	$1,628.10	$1,710.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $973.22 / $1,704.64 / $2,323.26	Facility		$973.22	$1,704.64	$2,323.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,384.85 / $4,384.85 / $4,384.85	Facility		$4,384.85	$4,384.85	$4,384.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,054.73 / $7,664.00 / $31,303.00	Facility		$1,054.73	$7,664.00	$31,303.00