Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.32 / $1,606.50 / $7,920.26	Facility		$295.32	$1,606.50	$7,920.26
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.48 / $73.89 / $179.52	Facility	53	$60.48	$73.89	$179.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $293.67 / $952.26	Professional		$175.23	$293.67	$952.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.55 / $424.76 / $974.34	Professional		$257.55	$424.76	$974.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.64 / $418.47 / $832.08	Professional		$285.64	$418.47	$832.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.23 / $436.97 / $827.83	Facility		$175.23	$436.97	$827.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.30 / $466.65 / $1,064.84	Professional		$252.30	$466.65	$1,064.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $305.42 / $558.78 / $726.28	Facility		$305.42	$558.78	$726.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.33 / $528.52 / $1,738.00	Facility		$224.33	$528.52	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.02 / $464.53 / $976.80	Professional		$292.02	$464.53	$976.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $291.98 / $519.64 / $1,039.41	Professional		$291.98	$519.64	$1,039.41
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 $486.41 / $648.54 / $1,167.08	Professional		$486.41	$648.54	$1,167.08