Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.71 / $7,839.06 / $20,400.00	Facility		$1,127.71	$7,839.06	$20,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,810.14 / $8,511.00 / $17,872.50	Facility	50	$6,810.14	$8,511.00	$17,872.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $958.20 / $1,064.67	Professional		$460.80	$958.20	$1,064.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $493.98 / $878.46 / $1,667.93	Facility		$493.98	$878.46	$1,667.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $745.25 / $907.85 / $1,181.88	Facility		$745.25	$907.85	$1,181.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $1,122.58 / $6,437.00	Facility		$579.00	$1,122.58	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00