Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.64 / $993.40 / $7,920.26	Facility		$371.64	$993.40	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $200.64 / $243.03 / $496.70	Facility	52	$200.64	$243.03	$496.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $80.25 / $97.21 / $198.68	Facility	53	$80.25	$97.21	$198.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $421.80 / $993.40	Professional		$212.88	$421.80	$993.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,310.00	Facility		$1,089.75	$1,089.75	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.50 / $517.75 / $1,183.46	Professional		$296.50	$517.75	$1,183.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.73 / $664.34 / $1,072.58	Professional		$374.73	$664.34	$1,072.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.14 / $632.84 / $1,113.50	Facility		$302.14	$632.84	$1,113.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $340.46 / $637.41 / $1,056.93	Professional		$340.46	$637.41	$1,056.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $430.97 / $802.99 / $888.42	Facility		$430.97	$802.99	$888.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.14 / $689.86 / $1,305.09	Facility		$302.14	$689.86	$1,305.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $379.25 / $608.05 / $1,148.98	Professional		$379.25	$608.05	$1,148.98
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 $380.67 / $737.12 / $1,202.82	Professional		$380.67	$737.12	$1,202.82
United Facility/Professional Facility Modifier Low / Median / High Price $529.95 / $5,130.00 / $7,385.00	Facility		$529.95	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.08 / $910.83 / $1,378.92	Professional		$626.08	$910.83	$1,378.92