Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.26 / $7,074.00 / $13,933.44	Facility		$1,281.26	$7,074.00	$13,933.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,751.16 / $8,586.79 / $16,095.00	Facility	50	$3,751.16	$8,586.79	$16,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $902.81 / $2,487.00	Professional		$525.09	$902.81	$2,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.84 / $1,453.01 / $1,959.87	Professional		$885.84	$1,453.01	$1,959.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,045.58 / $1,500.57 / $1,689.49	Professional		$1,045.58	$1,500.57	$1,689.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $902.81 / $1,299.44 / $1,941.04	Facility		$902.81	$1,299.44	$1,941.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $982.26 / $1,132.69 / $2,122.98	Professional		$982.26	$1,132.69	$2,122.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $906.99 / $1,236.82 / $1,335.31	Facility		$906.99	$1,236.82	$1,335.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.81 / $1,569.10 / $5,851.00	Facility		$902.81	$1,569.10	$5,851.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $253.62 / $253.62 / $253.62	Facility	80	$253.62	$253.62	$253.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $215.58 / $215.58 / $215.58	Facility	AS	$215.58	$215.58	$215.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,128.80 / $1,539.72 / $1,967.52	Professional		$1,128.80	$1,539.72	$1,967.52
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 $1,217.14 / $1,635.26 / $2,090.66	Professional		$1,217.14	$1,635.26	$2,090.66
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 $1,007.31 / $1,387.27 / $2,105.46	Professional		$1,007.31	$1,387.27	$2,105.46