Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $7,244.36 / $13,803.84	Facility		$501.19	$7,244.36	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,348.96 / $7,079.46	Professional		$229.09	$1,348.96	$7,079.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,623.41 / $5,623.41 / $5,888.44	Professional	50	$5,623.41	$5,623.41	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,174.90 / $9,772.37	Professional		$346.74	$1,174.90	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $2,951.21 / $7,413.10	Professional		$407.38	$2,951.21	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,630.78 / $12,302.69	Facility		$338.84	$3,630.78	$12,302.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $3,388.44 / $7,762.47	Professional		$363.08	$3,388.44	$7,762.47
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $5,623.41 / $5,623.41 / $5,888.44	Professional	50	$5,623.41	$5,623.41	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,888.44 / $6,918.31	Facility		$4,073.80	$5,888.44	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,235.94 / $8,128.31	Facility		$288.40	$3,235.94	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $8,511.38	Professional		$79.43	$707.95	$8,511.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $21,379.62 / $25,703.96	Facility		$15,488.17	$21,379.62	$25,703.96
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,908.68 / $32,359.37 / $38,904.51	Facility	50	$22,908.68	$32,359.37	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $7,943.28	Professional		$489.78	$870.96	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $30,902.95	Facility		$2,137.96	$13,182.57	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $3,235.94 / $9,120.11	Professional		$389.05	$3,235.94	$9,120.11