Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.92 / $1,556.01 / $15,978.56	Facility		$1,102.92	$1,556.01	$15,978.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,142.13 / $10,113.59 / $16,653.14	Facility	50	$7,142.13	$10,113.59	$16,653.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.38 / $591.73 / $1,404.17	Professional		$467.38	$591.73	$1,404.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.52 / $889.83 / $3,170.23	Professional	50	$252.52	$889.83	$3,170.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.31 / $1,142.49 / $1,698.93	Professional		$724.31	$1,142.49	$1,698.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $887.63 / $1,184.25 / $1,457.54	Professional		$887.63	$1,184.25	$1,457.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.12 / $886.53 / $1,529.09	Facility		$672.12	$886.53	$1,529.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $879.57 / $1,031.40 / $1,748.47	Professional		$879.57	$1,031.40	$1,748.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $785.37 / $1,153.07 / $1,252.90	Facility		$785.37	$1,153.07	$1,252.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $719.72 / $1,014.21 / $7,090.00	Facility		$719.72	$1,014.21	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.35 / $1,171.50 / $1,627.33	Professional		$973.35	$1,171.50	$1,627.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,860.78 / $8,846.16 / $10,572.71	Facility	50	$6,860.78	$8,846.16	$10,572.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,006.19 / $1,296.26 / $1,885.00	Professional		$1,006.19	$1,296.26	$1,885.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.45 / $1,136.66 / $1,802.59	Professional		$815.45	$1,136.66	$1,802.59