Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $3,060.00 / $6,859.38	Facility		$143.16	$3,060.00	$6,859.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $71.58 / $88.46 / $322.54	Facility	52	$71.58	$88.46	$322.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.63 / $35.38 / $129.02	Facility	53	$28.63	$35.38	$129.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.14 / $170.68 / $600.76	Professional		$68.14	$170.68	$600.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $842.71 / $1,937.44	Facility		$842.71	$842.71	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $240.50 / $778.30	Professional		$111.03	$240.50	$778.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $266.97 / $702.72	Professional		$137.93	$266.97	$702.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $233.28 / $639.20	Facility		$103.37	$233.28	$639.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $262.14 / $680.08	Professional		$120.64	$262.14	$680.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.05 / $462.36 / $574.86	Facility		$144.05	$462.36	$574.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.08 / $288.77 / $740.54	Facility		$104.08	$288.77	$740.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $315.24 / $750.81	Professional		$135.96	$315.24	$750.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,839.75 / $3,421.41	Facility		$2,153.07	$2,839.75	$3,421.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $414.84 / $779.89	Professional		$137.25	$414.84	$779.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.43 / $515.21 / $894.08	Professional		$286.43	$515.21	$894.08