Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.09 / $1,307.25 / $7,920.26	Facility		$393.09	$1,307.25	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $164.50 / $4,188.00 / $8,376.00	Facility	50	$164.50	$4,188.00	$8,376.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.10 / $437.15 / $862.46	Professional		$219.10	$437.15	$862.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $96.63 / $526.95 / $2,757.00	Professional	50	$96.63	$526.95	$2,757.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.75 / $467.51 / $801.26	Professional		$287.75	$467.51	$801.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.17 / $476.11 / $721.68	Professional		$339.17	$476.11	$721.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $476.53 / $1,067.58	Facility		$262.68	$476.53	$1,067.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $503.23 / $875.25	Professional		$295.29	$503.23	$875.25
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $420.24 / $420.24 / $420.24	Professional	50	$420.24	$420.24	$420.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.02 / $592.28 / $840.18	Facility		$438.02	$592.28	$840.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $723.12 / $2,919.00	Facility		$262.68	$723.12	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.48 / $537.38 / $828.24	Professional		$340.48	$537.38	$828.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,074.10 / $13,818.32 / $18,079.02	Facility	50	$11,074.10	$13,818.32	$18,079.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $344.42 / $550.45 / $848.01	Professional		$344.42	$550.45	$848.01
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 $444.39 / $772.83 / $954.55	Professional		$444.39	$772.83	$954.55