Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.63 / $4,536.58 / $6,315.95	Facility		$359.63	$4,536.58	$6,315.95
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $66.28 / $79.04 / $247.43	Facility	53	$66.28	$79.04	$247.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.40 / $611.95 / $2,888.00	Professional		$160.40	$611.95	$2,888.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.87 / $528.65 / $1,471.19	Professional		$284.87	$528.65	$1,471.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.56 / $462.20 / $1,205.76	Professional		$304.56	$462.20	$1,205.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.71 / $489.58 / $1,733.15	Facility		$227.71	$489.58	$1,733.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.25 / $706.46 / $1,543.23	Professional		$257.25	$706.46	$1,543.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $327.63 / $957.37 / $1,275.68	Facility		$327.63	$957.37	$1,275.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.71 / $836.58 / $1,733.15	Facility		$227.71	$836.58	$1,733.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $636.98 / $1,457.30	Professional		$313.30	$636.98	$1,457.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $312.05 / $555.36 / $1,438.31	Professional		$312.05	$555.36	$1,438.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $901.68 / $1,294.61 / $1,679.67	Professional		$901.68	$1,294.61	$1,679.67