Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.41 / $7,920.26 / $20,400.00	Facility		$563.41	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $3,025.22 / $7,152.39	Professional		$230.93	$3,025.22	$7,152.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,615.42 / $5,615.42 / $5,615.42	Professional	50	$5,615.42	$5,615.42	$5,615.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.23 / $2,772.08 / $9,113.95	Professional		$430.23	$2,772.08	$9,113.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.89 / $2,812.10 / $7,465.79	Professional		$480.89	$2,812.10	$7,465.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.93 / $2,812.10 / $9,432.89	Facility		$374.93	$2,812.10	$9,432.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.76 / $4,285.76 / $9,371.52	Professional		$407.76	$4,285.76	$9,371.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $422.00 / $5,567.76 / $6,841.37	Facility		$422.00	$5,567.76	$6,841.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.93 / $5,660.30 / $9,432.89	Facility		$374.93	$5,660.30	$9,432.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.06 / $4,056.30 / $9,069.66	Professional		$489.06	$4,056.30	$9,069.66
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $840.24 / $1,019.53 / $1,561.10	Professional	AS	$840.24	$1,019.53	$1,561.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,334.20 / $21,141.87 / $25,621.76	Facility		$15,334.20	$21,141.87	$25,621.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $23,001.30 / $31,712.81 / $38,432.64	Facility	50	$23,001.30	$31,712.81	$38,432.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $493.32 / $877.98 / $9,060.00	Professional		$493.32	$877.98	$9,060.00
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 $5,309.73 / $7,908.48 / $10,172.99	Professional		$5,309.73	$7,908.48	$10,172.99