Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.28 / $9,092.77 / $14,668.86	Facility		$1,080.28	$9,092.77	$14,668.86
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $18,480.13 / $18,480.13 / $18,737.39	Facility	50	$18,480.13	$18,480.13	$18,737.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.20 / $883.95 / $4,960.57	Professional		$544.20	$883.95	$4,960.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.03 / $1,123.49 / $1,605.03	Professional		$646.03	$1,123.49	$1,605.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.57 / $1,200.09 / $1,439.78	Professional		$1,024.57	$1,200.09	$1,439.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $766.21 / $1,052.58 / $1,488.36	Facility		$766.21	$1,052.58	$1,488.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $888.11 / $998.40 / $1,453.28	Professional		$888.11	$998.40	$1,453.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $753.88 / $1,042.52 / $1,105.50	Facility		$753.88	$1,042.52	$1,105.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.21 / $1,130.22 / $5,949.00	Facility		$766.21	$1,130.22	$5,949.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $207.11 / $207.11 / $207.11	Facility	80	$207.11	$207.11	$207.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $176.04 / $176.04 / $176.04	Facility	AS	$176.04	$176.04	$176.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $984.22 / $1,129.13 / $1,510.49	Professional		$984.22	$1,129.13	$1,510.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,573.67 / $15,257.31 / $18,175.73	Facility	50	$11,573.67	$15,257.31	$18,175.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,004.34 / $1,287.83 / $1,730.85	Professional		$1,004.34	$1,287.83	$1,730.85
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 $780.00 / $1,107.60 / $1,737.35	Professional		$780.00	$1,107.60	$1,737.35