Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,801.89 / $7,943.28	Facility		$288.40	$3,801.89	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.91 / $4,677.35 / $6,025.60	Facility	50	$0.91	$4,677.35	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $398.11	Professional		$93.33	$177.83	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $147.91 / $1,000.00	Professional	50	$38.90	$147.91	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $489.78	Professional		$186.21	$338.84	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $380.19	Professional		$218.78	$288.40	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $3,801.89	Facility		$186.21	$302.00	$3,801.89
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $0.91 / $3,630.78 / $6,025.60	Facility	50	$0.91	$3,630.78	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $416.87	Professional		$213.80	$281.84	$416.87
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $162.18 / $1,000.00	Professional	50	$38.90	$162.18	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $316.23	Facility		$263.03	$309.03	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $389.05	Facility		$169.82	$239.88	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $302.00 / $436.52	Professional		$79.43	$302.00	$436.52
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 $295.12 / $338.84 / $426.58	Professional		$295.12	$338.84	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,709.64 / $12,882.50	Facility		$1,995.26	$8,709.64	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $436.52	Professional		$204.17	$316.23	$436.52