Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.08 / $3,740.67 / $8,728.00	Facility		$80.08	$3,740.67	$8,728.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.47 / $44.85 / $255.69	Facility	52	$37.47	$44.85	$255.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $196.31 / $541.01	Professional		$34.25	$196.31	$541.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.02 / $225.02 / $1,937.44	Facility		$225.02	$225.02	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $217.05 / $614.29	Professional		$56.81	$217.05	$614.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $178.00 / $549.15	Professional		$69.13	$178.00	$549.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $208.22 / $621.35	Facility		$54.11	$208.22	$621.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $233.77 / $601.42	Professional		$63.22	$233.77	$601.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $428.73 / $452.92	Facility		$73.70	$428.73	$452.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $253.20 / $621.35	Facility		$55.43	$253.20	$621.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $292.82 / $607.72	Professional		$70.31	$292.82	$607.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $779.93 / $1,095.07	Facility		$598.00	$779.93	$1,095.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $377.97 / $623.21	Professional		$70.56	$377.97	$623.21
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $3,290.00 / $6,216.00	Facility		$177.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.05 / $451.50 / $711.76	Professional		$316.05	$451.50	$711.76