Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.44 / $4,483.14 / $18,977.96	Facility		$514.44	$4,483.14	$18,977.96
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.46 / $284.89 / $1,479.23	Facility	52	$237.46	$284.89	$1,479.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $731.80 / $3,136.90	Professional		$207.00	$731.80	$3,136.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $103.51 / $624.12 / $3,534.18	Professional	52	$103.51	$624.12	$3,534.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.52 / $1,134.66 / $3,285.27	Professional		$370.52	$1,134.66	$3,285.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.83 / $643.27 / $2,872.26	Professional		$437.83	$643.27	$2,872.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.58 / $1,091.77 / $3,289.50	Facility		$315.58	$1,091.77	$3,289.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $374.14 / $1,836.52 / $3,650.77	Professional		$374.14	$1,836.52	$3,650.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.04 / $2,229.89 / $2,543.88	Facility		$442.04	$2,229.89	$2,543.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.58 / $1,882.33 / $3,289.50	Facility		$315.58	$1,882.33	$3,289.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.72 / $1,549.63 / $3,600.74	Professional		$446.72	$1,549.63	$3,600.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,963.09 / $17,821.54 / $22,636.72	Facility		$13,963.09	$17,821.54	$22,636.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $451.89 / $804.24 / $3,441.32	Professional		$451.89	$804.24	$3,441.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,922.96 / $2,511.92 / $3,864.07	Professional		$1,922.96	$2,511.92	$3,864.07