Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.49 / $2,208.90 / $6,629.40	Facility		$240.49	$2,208.90	$6,629.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $111.49 / $132.05 / $389.42	Facility	52	$111.49	$132.05	$389.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.60 / $52.82 / $155.77	Facility	53	$44.60	$52.82	$155.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $266.75 / $862.25	Professional		$96.65	$266.75	$862.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.67 / $352.48 / $855.78	Professional		$191.67	$352.48	$855.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.12 / $318.45 / $759.66	Professional		$203.12	$318.45	$759.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $353.14 / $850.40	Facility		$164.25	$353.14	$850.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $466.40 / $975.01	Professional		$171.32	$466.40	$975.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.40 / $552.08 / $626.58	Facility		$214.40	$552.08	$626.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $510.29 / $850.40	Facility		$164.25	$510.29	$850.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.65 / $400.15 / $873.08	Professional		$208.65	$400.15	$873.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,064.48 / $2,604.89	Facility		$1,578.09	$2,064.48	$2,604.89
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,367.14 / $3,096.72 / $3,907.34	Facility	50	$2,367.14	$3,096.72	$3,907.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $369.86 / $899.18	Professional		$207.82	$369.86	$899.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.29 / $738.08 / $1,000.25	Professional		$513.29	$738.08	$1,000.25