Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $2,129.29 / $7,920.26	Facility		$70.93	$2,129.29	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $175.43 / $212.62 / $669.40	Facility	52	$175.43	$212.62	$669.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $408.66 / $1,267.44	Professional		$169.28	$408.66	$1,267.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $502.52 / $1,599.31	Professional		$270.00	$502.52	$1,599.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.15 / $482.13 / $1,430.82	Professional		$328.15	$482.13	$1,430.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.54 / $448.80 / $1,474.28	Facility		$262.54	$448.80	$1,474.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $457.65 / $1,489.45	Professional		$288.14	$457.65	$1,489.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.81 / $1,053.72 / $1,187.24	Facility		$328.81	$1,053.72	$1,187.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $546.03 / $2,041.64	Facility		$262.68	$546.03	$2,041.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.74 / $693.61 / $1,572.50	Professional		$331.74	$693.61	$1,572.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $334.06 / $989.75 / $1,632.18	Professional		$334.06	$989.75	$1,632.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.49 / $1,171.07 / $1,858.59	Professional		$473.49	$1,171.07	$1,858.59