Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.08 / $3,182.96 / $7,920.26	Facility		$362.08	$3,182.96	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.99 / $201.96 / $464.07	Facility	52	$165.99	$201.96	$464.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $269.25 / $878.81	Professional		$166.40	$269.25	$878.81
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 $254.31 / $434.60 / $1,109.81	Professional		$254.31	$434.60	$1,109.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.94 / $618.65 / $1,002.33	Professional		$309.94	$618.65	$1,002.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.26 / $414.18 / $1,011.50	Facility		$250.26	$414.18	$1,011.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.04 / $429.68 / $1,061.13	Professional		$283.04	$429.68	$1,061.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $326.95 / $724.47 / $829.46	Facility		$326.95	$724.47	$829.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.26 / $456.03 / $1,426.38	Facility		$250.26	$456.03	$1,426.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.08 / $508.92 / $1,072.73	Professional		$313.08	$508.92	$1,072.73
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 $315.27 / $679.99 / $1,130.88	Professional		$315.27	$679.99	$1,130.88
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 $413.13 / $783.14 / $1,297.35	Professional		$413.13	$783.14	$1,297.35