Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.79 / $1,486.00 / $15,341.00	Facility		$400.79	$1,486.00	$15,341.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $200.40 / $243.04 / $705.90	Facility	52	$200.40	$243.04	$705.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $381.07 / $1,240.32	Professional		$207.67	$381.07	$1,240.32
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 $306.30 / $580.19 / $1,697.19	Professional		$306.30	$580.19	$1,697.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.93 / $575.82 / $1,506.54	Professional		$373.93	$575.82	$1,506.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.87 / $600.55 / $1,621.82	Facility		$301.87	$600.55	$1,621.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.08 / $552.41 / $1,585.14	Professional		$338.08	$552.41	$1,585.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.01 / $1,110.35 / $1,263.61	Facility		$416.01	$1,110.35	$1,263.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.87 / $649.02 / $2,152.25	Facility		$301.87	$649.02	$2,152.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.62 / $747.27 / $1,679.33	Professional		$378.62	$747.27	$1,679.33
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 $380.02 / $1,042.18 / $1,776.77	Professional		$380.02	$1,042.18	$1,776.77
United Facility/Professional Facility Modifier Low / Median / High Price $732.17 / $5,130.00 / $7,233.00	Facility		$732.17	$5,130.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.41 / $1,252.22 / $1,971.60	Professional		$632.41	$1,252.22	$1,971.60