Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.04 / $6,783.07 / $13,320.00	Facility		$822.04	$6,783.07	$13,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $16,737.00 / $16,737.00 / $16,737.00	Facility	50	$16,737.00	$16,737.00	$16,737.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $573.62 / $1,926.00	Professional		$353.00	$573.62	$1,926.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.74 / $1,010.03 / $1,390.14	Professional		$622.74	$1,010.03	$1,390.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.00 / $998.11 / $1,255.14	Professional		$802.00	$998.11	$1,255.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.62 / $908.17 / $1,233.28	Facility		$573.62	$908.17	$1,233.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $681.02 / $842.21 / $1,532.73	Professional		$681.02	$842.21	$1,532.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $591.78 / $920.93 / $1,053.91	Facility		$591.78	$920.93	$1,053.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.62 / $997.05 / $2,662.00	Facility		$573.62	$997.05	$2,662.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $773.39 / $1,061.38 / $1,413.81	Professional		$773.39	$1,061.38	$1,413.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,808.64 / $16,697.40 / $21,403.95	Facility	50	$12,808.64	$16,697.40	$21,403.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $811.84 / $1,087.49 / $1,479.05	Professional		$811.84	$1,087.49	$1,479.05
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 $769.56 / $1,184.83 / $1,660.75	Professional		$769.56	$1,184.83	$1,660.75