Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.23 / $3,925.18 / $7,920.26	Facility		$341.23	$3,925.18	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.58 / $214.47 / $429.91	Facility	52	$176.58	$214.47	$429.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.63 / $85.79 / $171.96	Facility	53	$70.63	$85.79	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $283.07 / $890.00	Professional		$178.11	$283.07	$890.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $2,310.00	Facility		$866.68	$866.68	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.36 / $454.88 / $1,024.65	Professional		$270.36	$454.88	$1,024.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $483.52 / $929.86	Professional		$329.09	$483.52	$929.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.04 / $429.78 / $948.77	Facility		$266.04	$429.78	$948.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.38 / $456.76 / $952.87	Professional		$296.38	$456.76	$952.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $343.07 / $669.75 / $774.52	Facility		$343.07	$669.75	$774.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.04 / $453.05 / $1,323.84	Facility		$266.04	$453.05	$1,323.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.32 / $532.09 / $1,003.11	Professional		$334.32	$532.09	$1,003.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,955.33 / $3,590.10	Facility		$2,215.19	$2,955.33	$3,590.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $638.73 / $1,049.00	Professional		$336.00	$638.73	$1,049.00
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 $468.40 / $814.95 / $1,275.79	Professional		$468.40	$814.95	$1,275.79