Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.30 / $3,754.05 / $7,670.88	Facility		$334.30	$3,754.05	$7,670.88
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $153.38 / $186.62 / $1,222.76	Facility	52	$153.38	$186.62	$1,222.76
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.35 / $74.65 / $489.10	Facility	53	$61.35	$74.65	$489.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.87 / $280.57 / $1,877.76	Professional		$150.87	$280.57	$1,877.76
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 $235.17 / $452.90 / $2,929.47	Professional		$235.17	$452.90	$2,929.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $974.66 / $2,578.26	Professional		$286.45	$974.66	$2,578.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $394.40 / $2,684.15	Facility		$231.28	$394.40	$2,684.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.57 / $397.39 / $2,675.97	Professional		$257.57	$397.39	$2,675.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $1,930.94 / $2,146.67	Facility		$302.83	$1,930.94	$2,146.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $497.25 / $3,100.48	Facility		$231.28	$497.25	$3,100.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $1,258.75 / $2,855.59	Professional		$289.77	$1,258.75	$2,855.59
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 $291.98 / $1,824.89 / $2,975.05	Professional		$291.98	$1,824.89	$2,975.05
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 $1,179.89 / $2,162.66 / $3,446.58	Professional		$1,179.89	$2,162.66	$3,446.58