Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.37 / $2,952.36 / $17,904.88	Facility		$535.37	$2,952.36	$17,904.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,549.30 / $2,549.30 / $4,494.60	Facility	50	$2,549.30	$2,549.30	$4,494.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $356.99 / $987.93	Professional		$233.08	$356.99	$987.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.52 / $412.21 / $1,849.31	Professional	50	$88.52	$412.21	$1,849.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.33 / $648.15 / $1,182.76	Professional		$410.33	$648.15	$1,182.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.33 / $671.23 / $1,067.43	Professional		$458.33	$671.23	$1,067.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $356.99 / $649.05 / $1,049.93	Facility		$356.99	$649.05	$1,049.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $400.32 / $669.32 / $1,289.79	Professional		$400.32	$669.32	$1,289.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $386.12 / $720.86 / $879.71	Facility		$386.12	$720.86	$879.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.99 / $673.25 / $5,217.00	Facility		$356.99	$673.25	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $462.72 / $712.21 / $1,185.19	Professional		$462.72	$712.21	$1,185.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,797.14 / $30,050.66 / $38,432.64	Facility	50	$22,797.14	$30,050.66	$38,432.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $468.07 / $813.07 / $1,252.58	Professional		$468.07	$813.07	$1,252.58
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 $521.00 / $839.29 / $1,406.48	Professional		$521.00	$839.29	$1,406.48