Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.98 / $7,074.00 / $13,320.00	Facility		$655.98	$7,074.00	$13,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $300.44 / $327.99 / $366.78	Facility	52	$300.44	$327.99	$366.78
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $120.18 / $131.19 / $146.71	Facility	53	$120.18	$131.19	$146.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.07 / $389.33 / $1,367.00	Professional		$309.07	$389.33	$1,367.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.21 / $662.83 / $878.16	Professional		$419.21	$662.83	$878.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.56 / $679.05 / $764.55	Professional		$478.56	$679.05	$764.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.33 / $632.38 / $842.30	Facility		$389.33	$632.38	$842.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $540.02 / $953.82	Professional		$454.92	$540.02	$953.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.91 / $582.97 / $604.88	Facility		$424.91	$582.97	$604.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.33 / $728.74 / $5,626.00	Facility		$389.33	$728.74	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.92 / $695.31 / $877.33	Professional		$528.92	$695.31	$877.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,050.49	Facility		$6,909.34	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $542.46 / $732.71 / $936.76	Professional		$542.46	$732.71	$936.76
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 $448.94 / $710.74 / $979.04	Professional		$448.94	$710.74	$979.04