Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $20,892.96 / $34,673.69	Facility		$2,884.03	$20,892.96	$34,673.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $18,620.87 / $18,620.87 / $31,622.78	Facility	50	$18,620.87	$18,620.87	$31,622.78
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility	AS	$17,782.79	$17,782.79	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $21,877.62	Professional		$1,202.26	$1,905.46	$21,877.62
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $331.13 / $977.24	Professional	AS	$169.82	$331.13	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,630.78	Professional		$1,513.56	$2,344.23	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,162.28	Professional		$1,862.09	$2,454.71	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,311.31 / $30,902.95	Facility		$1,479.11	$3,311.31	$30,902.95
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $18,620.87 / $18,620.87 / $31,622.78	Facility	50	$18,620.87	$18,620.87	$31,622.78
Moda Health Facility/Professional Facility Modifier AS Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility	AS	$17,782.79	$17,782.79	$17,782.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $3,548.13	Professional		$1,621.81	$2,511.89	$3,548.13
Moda Health Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $331.13 / $954.99	Professional	AS	$169.82	$331.13	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Facility		$2,137.96	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $3,311.31	Facility		$1,288.25	$2,187.76	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,467.37	Professional		$79.43	$2,511.89	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $42,657.95 / $53,703.18	Facility		$31,622.78	$42,657.95	$53,703.18
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $46,773.51 / $63,095.73 / $81,283.05	Facility	50	$46,773.51	$63,095.73	$81,283.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $3,801.89	Professional		$2,290.87	$2,691.53	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $56,234.13	Facility		$3,311.31	$26,302.68	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $3,630.78	Professional		$1,819.70	$2,630.27	$3,630.78