Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.45 / $2,747.00 / $7,920.26	Facility		$286.45	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $131.81 / $160.19 / $310.00	Facility	52	$131.81	$160.19	$310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $299.14 / $671.68	Professional		$130.34	$299.14	$671.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.22 / $368.38 / $674.79	Professional		$225.22	$368.38	$674.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.78 / $335.71 / $613.15	Professional		$245.78	$335.71	$613.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.86 / $383.31 / $824.12	Facility		$194.86	$383.31	$824.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.24 / $401.36 / $692.73	Professional		$219.24	$401.36	$692.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.27 / $461.63 / $584.26	Facility		$255.27	$461.63	$584.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.86 / $474.99 / $1,738.00	Facility		$194.86	$474.99	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.29 / $402.05 / $679.10	Professional		$249.29	$402.05	$679.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.25 / $454.51 / $700.20	Professional		$249.25	$454.51	$700.20
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 $365.17 / $598.22 / $786.23	Professional		$365.17	$598.22	$786.23