Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.04 / $5,116.62 / $19,461.25	Facility		$847.04	$5,116.62	$19,461.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $423.52 / $465.76 / $522.67	Facility	52	$423.52	$465.76	$522.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $548.38 / $1,135.54	Professional		$385.43	$548.38	$1,135.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.65 / $824.97 / $1,252.83	Professional		$515.65	$824.97	$1,252.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.39 / $921.07 / $1,100.86	Professional		$783.39	$921.07	$1,100.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $594.15 / $803.85 / $1,059.48	Facility		$594.15	$803.85	$1,059.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $682.09 / $766.32 / $1,116.15	Professional		$682.09	$766.32	$1,116.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $603.20 / $828.79 / $853.58	Facility		$603.20	$828.79	$853.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.15 / $851.76 / $2,919.00	Facility		$594.15	$851.76	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $136.94 / $136.94 / $136.94	Facility	AS	$136.94	$136.94	$136.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.99 / $878.38 / $1,169.91	Professional		$767.99	$878.38	$1,169.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $774.33 / $994.36 / $1,336.43	Professional		$774.33	$994.36	$1,336.43
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
United Facility/Professional Professional Modifier Low / Median / High Price $630.87 / $853.53 / $1,304.32	Professional		$630.87	$853.53	$1,304.32