Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $4,570.88 / $6,456.54	Facility		$426.58	$4,570.88	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	50	$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $467.74 / $1,380.38	Professional		$138.04	$467.74	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $524.81 / $1,548.82	Professional		$208.93	$524.81	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $467.74 / $1,174.90	Professional		$245.47	$467.74	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,801.89 / $5,888.44	Facility		$218.78	$3,801.89	$5,888.44
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	50	$2,818.38	$2,818.38	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $588.84 / $1,288.25	Professional		$213.80	$588.84	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $1,288.25	Facility		$794.33	$954.99	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $467.74 / $1,202.26	Facility		$165.96	$467.74	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $407.38 / $1,348.96	Professional		$79.43	$407.38	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,754.40 / $7,585.78 / $9,332.54	Facility	50	$5,754.40	$7,585.78	$9,332.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,258.93	Professional		$295.12	$524.81	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $630.96 / $1,479.11	Professional		$245.47	$630.96	$1,479.11