Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.94 / $5,100.60 / $13,746.00	Facility		$896.94	$5,100.60	$13,746.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,600.19 / $8,524.66 / $11,095.04	Facility	50	$3,600.19	$8,524.66	$11,095.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
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 / $909.80 / $1,878.97	Facility		$493.98	$909.80	$1,878.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $745.25 / $941.71 / $1,329.95	Facility		$745.25	$941.71	$1,329.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $1,149.00 / $7,339.00	Facility		$579.00	$1,149.00	$7,339.00
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