Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.39 / $4,962.67 / $15,341.00	Facility		$327.39	$4,962.67	$15,341.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $151.21 / $180.21 / $817.56	Facility	52	$151.21	$180.21	$817.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $635.54 / $1,309.97	Professional		$138.53	$635.54	$1,309.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $591.75 / $1,811.89	Professional		$258.52	$591.75	$1,811.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $608.00 / $1,596.30	Professional		$277.08	$608.00	$1,596.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.60 / $608.00 / $1,766.17	Facility		$222.60	$608.00	$1,766.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.86 / $842.16 / $1,925.37	Professional		$240.86	$842.16	$1,925.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.81 / $1,051.25 / $1,313.20	Facility		$296.81	$1,051.25	$1,313.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.60 / $1,059.81 / $1,766.17	Facility		$222.60	$1,059.81	$1,766.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $769.46 / $1,811.89	Professional		$284.77	$769.46	$1,811.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,160.13 / $4,817.66 / $6,738.85	Facility		$3,160.13	$4,817.66	$6,738.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,740.20 / $7,226.49 / $10,108.28	Facility	50	$4,740.20	$7,226.49	$10,108.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $283.56 / $504.66 / $1,901.63	Professional		$283.56	$504.66	$1,901.63
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 $912.60 / $1,212.17 / $2,135.26	Professional		$912.60	$1,212.17	$2,135.26