Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.45 / $2,824.50 / $10,196.12	Facility		$409.45	$2,824.50	$10,196.12
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $204.72 / $245.96 / $1,115.14	Facility	52	$204.72	$245.96	$1,115.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $81.89 / $98.38 / $446.06	Facility	53	$81.89	$98.38	$446.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $631.78 / $1,568.88	Professional		$229.33	$631.78	$1,568.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.65 / $857.36 / $2,473.78	Professional		$353.65	$857.36	$2,473.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $829.48 / $2,179.87	Professional		$379.89	$829.48	$2,179.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.25 / $829.48 / $2,168.42	Facility		$265.25	$829.48	$2,168.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.76 / $1,265.88 / $2,768.06	Professional		$320.76	$1,265.88	$2,768.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $399.32 / $1,522.27 / $1,791.24	Facility		$399.32	$1,522.27	$1,791.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.25 / $1,301.19 / $2,354.63	Facility		$265.25	$1,301.19	$2,354.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $1,101.38 / $2,516.69	Professional		$388.70	$1,101.38	$2,516.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,489.94 / $9,507.46 / $11,437.28	Facility	50	$7,489.94	$9,507.46	$11,437.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $387.15 / $689.02 / $2,599.94	Professional		$387.15	$689.02	$2,599.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.21 / $2,096.12 / $2,892.16	Professional		$1,366.21	$2,096.12	$2,892.16