Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.59 / $7,311.52 / $41,198.94	Facility		$773.59	$7,311.52	$41,198.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,682.50 / $13,947.50 / $16,899.00	Facility	50	$2,682.50	$13,947.50	$16,899.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.85 / $1,287.45 / $2,967.90	Professional	50	$467.85	$1,287.45	$2,967.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.76 / $984.69 / $5,028.49	Professional		$721.76	$984.69	$5,028.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.47 / $1,994.38 / $4,575.42	Facility		$463.47	$1,994.38	$4,575.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $706.35 / $3,575.12 / $4,105.76	Facility		$706.35	$3,575.12	$4,105.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.33 / $2,163.36 / $5,260.15	Facility		$465.33	$2,163.36	$5,260.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $18,400.34 / $20,571.93	Facility		$12,954.82	$18,400.34	$20,571.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $19,432.23 / $27,600.51 / $30,857.90	Facility	50	$19,432.23	$27,600.51	$30,857.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,612.00 / $18,628.00 / $26,255.00	Facility		$7,612.00	$18,628.00	$26,255.00