Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,623.41 / $13,489.63	Facility		$912.01	$5,623.41	$13,489.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility	50	$8,128.31	$8,128.31	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,584.89	Professional		$407.38	$588.84	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,122.02 / $1,548.82	Professional		$602.56	$1,122.02	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,513.56	Professional		$724.44	$1,071.52	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $9,332.54	Facility		$588.84	$912.01	$9,332.54
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility	50	$8,128.31	$8,128.31	$8,128.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,479.11	Professional		$691.83	$912.01	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,148.15	Facility		$758.58	$1,047.13	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $1,258.93	Facility		$537.03	$794.33	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,479.11	Professional		$79.43	$1,047.13	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $17,782.79 / $21,379.62	Facility	50	$12,882.50	$17,782.79	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,548.82	Professional		$891.25	$1,148.15	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,982.44	Facility		$1,995.26	$10,232.93	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,513.56	Professional		$575.44	$1,000.00	$1,513.56