Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.13 / $2,747.00 / $7,920.26	Facility		$624.13	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,643.00 / $5,643.00 / $5,643.00	Facility	50	$5,643.00	$5,643.00	$5,643.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $551.62 / $1,427.72	Professional		$163.36	$551.62	$1,427.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $876.25 / $1,144.56 / $1,287.27	Professional	50	$876.25	$1,144.56	$1,287.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $549.29 / $2,267.05	Professional		$293.32	$549.29	$2,267.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.25 / $469.05 / $1,987.94	Professional		$319.25	$469.05	$1,987.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.51 / $487.00 / $2,174.85	Facility		$226.51	$487.00	$2,174.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $1,273.98 / $2,412.60	Professional		$274.33	$1,273.98	$2,412.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.35 / $1,527.46 / $1,679.02	Facility		$338.35	$1,527.46	$1,679.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.51 / $833.37 / $2,174.85	Facility		$226.51	$833.37	$2,174.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.56 / $1,056.42 / $2,440.09	Professional		$322.56	$1,056.42	$2,440.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $326.29 / $580.71 / $2,380.12	Professional		$326.29	$580.71	$2,380.12
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.13 / $1,767.60 / $2,672.52	Professional		$1,303.13	$1,767.60	$2,672.52