Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.18 / $720.61 / $6,629.40	Facility		$160.18	$720.61	$6,629.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.09 / $97.74 / $299.02	Facility	52	$80.09	$97.74	$299.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.04 / $39.10 / $119.61	Facility	53	$32.04	$39.10	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $244.06 / $881.00	Professional		$82.71	$244.06	$881.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $51.91 / $119.52 / $326.56	Professional	52	$51.91	$119.52	$326.56
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $20.76 / $47.81 / $130.62	Professional	53	$20.76	$47.81	$130.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.58 / $244.39 / $646.41	Professional		$141.58	$244.39	$646.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.55 / $228.25 / $544.47	Professional		$150.55	$228.25	$544.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.81 / $321.26 / $540.54	Facility		$103.81	$321.26	$540.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $280.80 / $620.60	Professional		$135.29	$280.80	$620.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.98 / $379.89 / $481.73	Facility		$196.98	$379.89	$481.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $398.40 / $1,738.00	Facility		$132.90	$398.40	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $285.01 / $645.07	Professional		$153.78	$285.01	$645.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,136.85 / $2,599.42	Facility		$1,568.64	$2,136.85	$2,599.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.79 / $271.92 / $683.15	Professional		$152.79	$271.92	$683.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $4,911.00	Facility		$1,106.00	$2,385.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.48 / $440.79 / $759.94	Professional		$317.48	$440.79	$759.94