Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.87 / $1,329.50 / $6,616.00	Facility		$338.87	$1,329.50	$6,616.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $177.69 / $213.12 / $462.52	Facility	52	$177.69	$213.12	$462.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.09 / $377.19 / $879.17	Professional		$159.09	$377.19	$879.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.25 / $506.44 / $1,008.59	Professional		$303.25	$506.44	$1,008.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $444.99 / $900.54	Professional		$326.82	$444.99	$900.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $563.99 / $1,036.15	Facility		$262.32	$563.99	$1,036.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $580.00 / $1,005.10	Professional		$287.64	$580.00	$1,005.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $341.03 / $681.18 / $760.24	Facility		$341.03	$681.18	$760.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $625.59 / $2,327.00	Facility		$262.32	$625.59	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.80 / $538.65 / $1,016.20	Professional		$332.80	$538.65	$1,016.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,277.96 / $10,794.36 / $14,018.87	Facility		$8,277.96	$10,794.36	$14,018.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.47 / $680.96 / $1,051.72	Professional		$331.47	$680.96	$1,051.72
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 $530.40 / $799.59 / $1,169.95	Professional		$530.40	$799.59	$1,169.95