Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.54 / $7,920.26 / $20,400.00	Facility		$583.54	$7,920.26	$20,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,103.20 / $13,570.00 / $17,514.29	Facility	50	$4,103.20	$13,570.00	$17,514.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.55 / $474.43 / $821.27	Professional		$351.55	$474.43	$821.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $235.88 / $703.10 / $2,723.37	Professional	50	$235.88	$703.10	$2,723.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.37 / $731.06 / $978.98	Professional		$441.37	$731.06	$978.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.82 / $730.75 / $822.76	Professional		$512.82	$730.75	$822.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.43 / $764.52 / $1,109.54	Facility		$474.43	$764.52	$1,109.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $515.58 / $679.80 / $1,024.90	Professional		$515.58	$679.80	$1,024.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.65 / $624.71 / $770.50	Facility		$529.65	$624.71	$770.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.43 / $825.49 / $7,952.00	Facility		$474.43	$825.49	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.44 / $767.64 / $950.62	Professional		$570.44	$767.64	$950.62
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 $591.66 / $790.14 / $1,010.19	Professional		$591.66	$790.14	$1,010.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,404.00	Facility		$2,155.00	$13,246.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.80 / $806.52 / $1,067.80	Professional		$474.80	$806.52	$1,067.80