Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.35 / $2,747.00 / $13,320.00	Facility		$478.35	$2,747.00	$13,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.91 / $4,644.38 / $5,633.00	Facility	50	$0.91	$4,644.38	$5,633.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $371.86 / $769.32	Professional		$199.36	$371.86	$769.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $197.78 / $353.35 / $2,016.19	Professional	50	$197.78	$353.35	$2,016.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.14 / $600.21 / $778.84	Professional		$362.14	$600.21	$778.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $600.26 / $675.83	Professional		$421.00	$600.26	$675.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $388.91 / $606.51 / $884.87	Facility		$388.91	$606.51	$884.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.24 / $549.78 / $841.35	Professional		$423.24	$549.78	$841.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $435.34 / $512.86 / $611.04	Facility		$435.34	$512.86	$611.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $388.91 / $677.04 / $5,626.00	Facility		$388.91	$677.04	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.48 / $627.48 / $778.84	Professional		$461.48	$627.48	$778.84
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 $485.26 / $649.84 / $830.81	Professional		$485.26	$649.84	$830.81
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 $399.08 / $630.49 / $839.42	Professional		$399.08	$630.49	$839.42