Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.73 / $2,747.00 / $15,341.00	Facility		$517.73	$2,747.00	$15,341.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $258.86 / $313.64 / $748.35	Facility	52	$258.86	$313.64	$748.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $103.55 / $125.45 / $299.33	Facility	53	$103.55	$125.45	$299.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $577.42 / $1,365.86	Professional		$278.58	$577.42	$1,365.86
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 $367.42 / $725.15 / $1,781.37	Professional		$367.42	$725.15	$1,781.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.04 / $708.22 / $1,599.09	Professional		$482.04	$708.22	$1,599.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.59 / $837.62 / $1,752.96	Facility		$389.59	$837.62	$1,752.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $955.23 / $1,567.20	Professional		$439.64	$955.23	$1,567.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $576.52 / $1,173.63 / $1,370.15	Facility		$576.52	$1,173.63	$1,370.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.59 / $938.28 / $1,781.26	Facility		$389.59	$938.28	$1,781.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.56 / $849.14 / $1,781.37	Professional		$489.56	$849.14	$1,781.37
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 $491.38 / $1,104.02 / $1,878.01	Professional		$491.38	$1,104.02	$1,878.01
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 $905.47 / $1,381.37 / $2,091.63	Professional		$905.47	$1,381.37	$2,091.63