Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.91 / $4,534.33 / $6,072.60	Facility		$669.91	$4,534.33	$6,072.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,850.00 / $2,850.00 / $2,850.00	Facility	50	$2,850.00	$2,850.00	$2,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.06 / $609.01 / $2,953.11	Professional		$148.06	$609.01	$2,953.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $522.25 / $1,456.35	Professional		$267.95	$522.25	$1,456.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $457.34 / $1,194.40	Professional		$286.45	$457.34	$1,194.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $214.97 / $462.19 / $1,677.05	Facility		$214.97	$462.19	$1,677.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.77 / $698.69 / $1,527.79	Professional		$241.77	$698.69	$1,527.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $947.31 / $1,266.97	Facility		$308.20	$947.31	$1,266.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.97 / $837.95 / $1,677.05	Facility		$214.97	$837.95	$1,677.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $635.46 / $1,455.40	Professional		$294.45	$635.46	$1,455.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,803.22 / $7,283.31 / $9,103.98	Facility	50	$5,803.22	$7,283.31	$9,103.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $521.95 / $1,438.31	Professional		$293.27	$521.95	$1,438.31
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 $907.69 / $1,290.28 / $1,684.99	Professional		$907.69	$1,290.28	$1,684.99