Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.54 / $5,116.62 / $15,341.00	Facility		$640.54	$5,116.62	$15,341.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $332.41 / $362.23 / $402.80	Facility	52	$332.41	$362.23	$402.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $132.96 / $144.88 / $161.12	Facility	53	$132.96	$144.88	$161.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.92 / $472.50 / $1,034.64	Professional		$332.92	$472.50	$1,034.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,406.86	Facility		$2,059.63	$2,059.63	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.46 / $662.71 / $951.58	Professional		$364.46	$662.71	$951.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.72 / $686.38 / $837.37	Professional		$522.72	$686.38	$837.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $531.84 / $1,075.10	Facility		$338.16	$531.84	$1,075.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $523.04 / $608.64 / $1,039.76	Professional		$523.04	$608.64	$1,039.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $471.90 / $636.76 / $656.88	Facility		$471.90	$636.76	$656.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.93 / $779.71 / $1,127.97	Facility		$360.93	$779.71	$1,127.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $571.49 / $719.25 / $933.78	Professional		$571.49	$719.25	$933.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,730.83 / $8,780.14 / $10,511.02	Facility		$3,730.83	$8,780.14	$10,511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $599.04 / $764.11 / $1,006.31	Professional		$599.04	$764.11	$1,006.31
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 $489.09 / $687.13 / $1,016.58	Professional		$489.09	$687.13	$1,016.58