Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.74 / $3,776.73 / $7,578.57	Facility		$622.74	$3,776.73	$7,578.57
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $253.90 / $308.00 / $507.51	Facility	52	$253.90	$308.00	$507.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $101.56 / $123.20 / $203.00	Facility	53	$101.56	$123.20	$203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.17 / $461.14 / $1,278.60	Professional		$265.17	$461.14	$1,278.60
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $50.98 / $99.10 / $268.10	Professional	53	$50.98	$99.10	$268.10
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 $356.15 / $647.08 / $1,206.61	Professional		$356.15	$647.08	$1,206.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.99 / $683.45 / $1,095.89	Professional		$472.99	$683.45	$1,095.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.09 / $728.48 / $1,208.70	Facility		$382.09	$728.48	$1,208.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $434.83 / $728.76 / $1,129.94	Professional		$434.83	$728.76	$1,129.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.33 / $844.74 / $974.64	Facility		$509.33	$844.74	$974.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.09 / $728.48 / $1,463.37	Facility		$382.09	$728.48	$1,463.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.53 / $741.05 / $1,191.75	Professional		$480.53	$741.05	$1,191.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,636.00	Facility		$2,830.49	$3,730.83	$4,636.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $482.31 / $794.52 / $1,245.27	Professional		$482.31	$794.52	$1,245.27
United Facility/Professional Facility Modifier Low / Median / High Price $548.48 / $4,138.00 / $7,385.00	Facility		$548.48	$4,138.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.85 / $963.24 / $1,409.98	Professional		$658.85	$963.24	$1,409.98