Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $776.25 / $6,025.60	Facility		$398.11	$776.25	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $4,677.35 / $8,317.64	Facility	50	$1,659.59	$4,677.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $724.44	Professional		$194.98	$363.08	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $512.86 / $1,819.70	Professional	50	$87.10	$512.86	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $812.83	Professional		$257.04	$467.74	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $724.44	Professional		$288.40	$457.09	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $467.74 / $2,398.83	Facility		$239.88	$467.74	$2,398.83
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1.00 / $4,265.80 / $8,317.64	Facility	50	$1.00	$4,265.80	$8,317.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $794.33	Professional		$269.15	$501.19	$794.33
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $512.86 / $1,819.70	Professional	50	$87.10	$512.86	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $831.76	Facility		$489.78	$575.44	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $436.52 / $912.01	Facility		$218.78	$436.52	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $457.09 / $812.83	Professional		$79.43	$457.09	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,964.78 / $15,135.61 / $18,197.01	Facility	50	$10,964.78	$15,135.61	$18,197.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $794.33	Professional		$346.74	$562.34	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $912.01	Professional		$302.00	$489.78	$912.01