Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.45 / $4,962.67 / $15,341.00	Facility		$352.45	$4,962.67	$15,341.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,809.84 / $1,809.84 / $6,038.02	Facility	50	$1,809.84	$1,809.84	$6,038.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.27 / $310.54 / $785.16	Professional		$166.27	$310.54	$785.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $404.99 / $481.28 / $1,243.51	Professional	50	$404.99	$481.28	$1,243.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.96 / $438.86 / $716.49	Professional		$249.96	$438.86	$716.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.76 / $426.31 / $646.90	Professional		$305.76	$426.31	$646.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.53 / $399.47 / $792.18	Facility		$234.53	$399.47	$792.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.48 / $430.94 / $728.67	Professional		$264.48	$430.94	$728.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $482.74 / $538.41	Facility		$287.68	$482.74	$538.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.72 / $512.04 / $2,327.00	Facility		$250.72	$512.04	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.64 / $469.84 / $702.04	Professional		$304.64	$469.84	$702.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,048.48 / $7,764.21 / $9,530.61	Facility	50	$6,048.48	$7,764.21	$9,530.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $308.16 / $474.80 / $731.47	Professional		$308.16	$474.80	$731.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $552.36 / $821.33	Professional		$381.60	$552.36	$821.33