Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.70 / $3,925.18 / $7,920.26	Facility		$290.70	$3,925.18	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.91 / $1,307.25 / $3,615.00	Facility	50	$0.91	$1,307.25	$3,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $196.96 / $411.65	Professional		$112.47	$196.96	$411.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.67 / $188.40 / $1,054.50	Professional	50	$38.67	$188.40	$1,054.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.02 / $342.27 / $468.09	Professional		$228.02	$342.27	$468.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.42 / $364.50 / $410.39	Professional		$254.42	$364.50	$410.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.43 / $337.13 / $501.87	Facility		$233.43	$337.13	$501.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.65 / $293.12 / $508.20	Professional		$255.65	$293.12	$508.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.87 / $302.83 / $318.92	Facility		$222.87	$302.83	$318.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.43 / $389.01 / $3,274.00	Facility		$233.43	$389.01	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $368.09 / $468.09	Professional		$275.89	$368.09	$468.09
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 $290.91 / $390.56 / $499.32	Professional		$290.91	$390.56	$499.32
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 $235.03 / $351.88 / $498.55	Professional		$235.03	$351.88	$498.55