Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.02 / $4,283.46 / $8,728.00	Facility		$257.02	$4,283.46	$8,728.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.18 / $143.32 / $556.05	Facility	52	$117.18	$143.32	$556.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $276.32 / $1,112.10	Professional		$118.31	$276.32	$1,112.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $1,937.44	Facility		$1,089.75	$1,089.75	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $354.96 / $1,344.25	Professional		$181.52	$354.96	$1,344.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.14 / $452.09 / $1,189.51	Professional		$220.14	$452.09	$1,189.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.96 / $350.56 / $1,349.58	Facility		$176.96	$350.56	$1,349.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.56 / $304.80 / $1,242.78	Professional		$197.56	$304.80	$1,242.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $240.59 / $876.09 / $1,046.54	Facility		$240.59	$876.09	$1,046.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.96 / $451.69 / $1,691.38	Facility		$176.96	$451.69	$1,691.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.31 / $468.74 / $1,340.18	Professional		$222.31	$468.74	$1,340.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,417.60	Facility		$2,830.49	$3,730.83	$4,417.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $822.30 / $1,401.90	Professional		$224.00	$822.30	$1,401.90
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 $279.86 / $1,012.13 / $1,568.35	Professional		$279.86	$1,012.13	$1,568.35