Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.12 / $2,792.00 / $8,070.00	Facility		$447.12	$2,792.00	$8,070.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.56 / $266.45 / $1,549.08	Facility	52	$223.56	$266.45	$1,549.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.48 / $652.54 / $2,819.68	Professional		$209.48	$652.54	$2,819.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.79 / $1,014.44 / $3,446.69	Professional		$376.79	$1,014.44	$3,446.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.78 / $1,136.17 / $2,994.44	Professional		$409.78	$1,136.17	$2,994.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.76 / $1,136.17 / $3,334.55	Facility		$329.76	$1,136.17	$3,334.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $345.86 / $1,361.84 / $3,788.70	Professional		$345.86	$1,361.84	$3,788.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $422.38 / $1,963.53 / $2,485.69	Facility		$422.38	$1,963.53	$2,485.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.76 / $2,000.93 / $3,334.55	Facility		$329.76	$2,000.93	$3,334.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.95 / $1,302.45 / $3,446.69	Professional		$417.95	$1,302.45	$3,446.69
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 $416.28 / $740.86 / $3,573.97	Professional		$416.28	$740.86	$3,573.97
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 $1,594.26 / $2,094.42 / $4,013.04	Professional		$1,594.26	$2,094.42	$4,013.04