Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.42 / $6,916.80 / $13,320.00	Facility		$1,021.42	$6,916.80	$13,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.60 / $3,388.60 / $14,243.87	Facility	50	$3,388.60	$3,388.60	$14,243.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.39 / $707.10 / $3,344.40	Professional		$453.39	$707.10	$3,344.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.48 / $986.38 / $1,516.55	Professional		$597.48	$986.38	$1,516.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.36 / $1,148.35 / $1,377.71	Professional		$979.36	$1,148.35	$1,377.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $644.58 / $933.84 / $1,247.80	Facility		$644.58	$933.84	$1,247.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $775.20 / $910.78 / $1,384.26	Professional		$775.20	$910.78	$1,384.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.08 / $970.30 / $1,050.56	Facility		$694.08	$970.30	$1,050.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $682.30 / $1,027.34 / $9,178.00	Facility		$682.30	$1,027.34	$9,178.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $882.51 / $1,046.66 / $1,430.35	Professional		$882.51	$1,046.66	$1,430.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,730.45 / $7,352.85 / $9,547.92	Facility	50	$5,730.45	$7,352.85	$9,547.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $952.07 / $1,223.82 / $1,644.83	Professional		$952.07	$1,223.82	$1,644.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.50 / $1,028.31 / $1,584.18	Professional		$734.50	$1,028.31	$1,584.18