Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $5,116.62 / $9,171.29	Facility		$42.54	$5,116.62	$9,171.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.64 / $21.27 / $23.09	Facility	52	$19.64	$21.27	$23.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $40.38 / $48.98	Professional		$33.99	$40.38	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $44.94 / $63.15	Facility		$23.38	$44.94	$63.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $37.10 / $46.90	Facility		$28.54	$37.10	$46.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $46.48 / $63.15	Facility		$23.38	$46.48	$63.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,820.85 / $3,393.44	Facility		$2,215.19	$2,820.85	$3,393.44
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