Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.42 / $4,962.67 / $15,341.00	Facility		$683.42	$4,962.67	$15,341.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,188.00 / $4,188.00 / $4,188.00	Facility	50	$4,188.00	$4,188.00	$4,188.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,435.98 / $2,658.43	Professional		$284.02	$1,435.98	$2,658.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,586.34 / $2,586.34 / $2,586.34	Professional	50	$2,586.34	$2,586.34	$2,586.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.50 / $1,310.18 / $4,257.06	Professional		$460.50	$1,310.18	$4,257.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.87 / $872.97 / $3,906.65	Professional		$639.87	$872.97	$3,906.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $408.40 / $1,534.12 / $3,465.25	Facility		$408.40	$1,534.12	$3,465.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.25 / $2,350.59 / $4,104.78	Professional		$537.25	$2,350.59	$4,104.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $623.76 / $2,802.80 / $3,158.38	Facility		$623.76	$2,802.80	$3,158.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.70 / $1,662.46 / $3,997.89	Facility		$409.70	$1,662.46	$3,997.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $595.79 / $2,011.15 / $4,183.42	Professional		$595.79	$2,011.15	$4,183.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,664.71 / $12,623.94	Facility		$7,811.13	$10,664.71	$12,623.94
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,716.70 / $15,997.07 / $18,935.91	Facility	50	$11,716.70	$15,997.07	$18,935.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $586.12 / $1,937.34 / $4,099.92	Professional		$586.12	$1,937.34	$4,099.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,949.00 / $12,835.00 / $26,404.00	Facility		$3,949.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.92 / $2,933.44 / $4,649.22	Professional		$1,578.92	$2,933.44	$4,649.22