Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.58 / $1,924.00 / $13,746.00	Facility		$1,331.58	$1,924.00	$13,746.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,760.61 / $9,040.50 / $9,040.50	Facility	50	$7,760.61	$9,040.50	$9,040.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.19 / $936.95 / $2,131.30	Professional		$576.19	$936.95	$2,131.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.10 / $4,348.17 / $4,938.00	Professional	50	$288.10	$4,348.17	$4,938.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.76 / $1,642.88 / $2,289.27	Professional		$1,022.76	$1,642.88	$2,289.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.33 / $1,627.00 / $2,025.32	Professional		$1,307.33	$1,627.00	$2,025.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $936.95 / $1,536.63 / $2,014.44	Facility		$936.95	$1,536.63	$2,014.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.11 / $1,411.80 / $2,304.98	Professional		$1,094.11	$1,411.80	$2,304.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $988.26 / $1,524.90 / $1,678.35	Facility		$988.26	$1,524.90	$1,678.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $936.95 / $1,684.64 / $2,886.18	Facility		$936.95	$1,684.64	$2,886.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,256.52 / $1,715.30 / $2,295.40	Professional		$1,256.52	$1,715.30	$2,295.40
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 $1,306.45 / $1,742.91 / $2,364.01	Professional		$1,306.45	$1,742.91	$2,364.01
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 $1,262.46 / $1,763.02 / $2,654.44	Professional		$1,262.46	$1,763.02	$2,654.44