Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.52 / $8,952.00 / $14,083.83	Facility		$1,327.52	$8,952.00	$14,083.83
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $728.80 / $797.96 / $893.73	Facility	52	$728.80	$797.96	$893.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.07 / $948.23 / $3,418.00	Professional		$770.07	$948.23	$3,418.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,009.92 / $1,638.78 / $2,136.88	Professional		$1,009.92	$1,638.78	$2,136.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,165.59 / $1,660.90 / $1,870.01	Professional		$1,165.59	$1,660.90	$1,870.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $948.23 / $1,580.23 / $2,266.79	Facility		$948.23	$1,580.23	$2,266.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.70 / $1,465.80 / $2,319.26	Professional		$1,166.70	$1,465.80	$2,319.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,178.75 / $1,419.92 / $1,636.81	Facility		$1,178.75	$1,419.92	$1,636.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $948.23 / $1,841.48 / $6,246.00	Facility		$948.23	$1,841.48	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,286.96 / $1,703.20 / $2,134.63	Professional		$1,286.96	$1,703.20	$2,134.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,319.85 / $1,782.95 / $2,279.48	Professional		$1,319.85	$1,782.95	$2,279.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.66 / $1,678.60 / $2,271.98	Professional		$1,115.66	$1,678.60	$2,271.98