Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $691.83 / $7,943.28	Facility		$316.23	$691.83	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $1,819.70 / $6,025.60	Facility	50	$1,819.70	$1,819.70	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $660.69	Professional		$165.96	$295.12	$660.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $467.74 / $645.65	Professional	50	$407.38	$467.74	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $724.44	Professional		$234.42	$416.87	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $645.65	Professional		$263.03	$416.87	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $389.05 / $851.14	Facility		$213.80	$389.05	$851.14
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $1,819.70 / $6,025.60	Facility	50	$1,819.70	$1,819.70	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $630.96	Professional		$239.88	$426.58	$630.96
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $467.74 / $1,230.27	Professional	50	$407.38	$467.74	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $524.81	Facility		$354.81	$489.78	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $371.54 / $660.69	Facility		$194.98	$371.54	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $398.11 / $676.08	Professional		$79.43	$398.11	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $6,606.93	Facility		$4,073.80	$5,370.32	$6,606.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $7,943.28 / $10,000.00	Facility	50	$6,025.60	$7,943.28	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $660.69	Professional		$302.00	$467.74	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,762.47	Facility		$1,698.24	$5,495.41	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $676.08	Professional		$239.88	$407.38	$676.08