Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.52 / $7,051.35 / $13,320.00	Facility		$769.52	$7,051.35	$13,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,633.00 / $8,449.50 / $12,595.36	Facility	50	$5,633.00	$8,449.50	$12,595.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $890.23 / $3,314.46	Professional		$312.25	$890.23	$3,314.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.31 / $1,153.90 / $2,710.34	Professional	50	$156.31	$1,153.90	$2,710.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.80 / $1,643.62 / $5,406.43	Professional		$519.80	$1,643.62	$5,406.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.96 / $978.13 / $4,900.92	Professional		$716.96	$978.13	$4,900.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.57 / $1,966.40 / $4,357.50	Facility		$460.57	$1,966.40	$4,357.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.67 / $1,918.00 / $5,136.21	Professional		$602.67	$1,918.00	$5,136.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $727.62 / $3,454.47 / $4,000.57	Facility		$727.62	$3,454.47	$4,000.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.92 / $2,111.04 / $5,113.42	Facility		$460.92	$2,111.04	$5,113.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.03 / $2,454.48 / $5,331.70	Professional		$670.03	$2,454.48	$5,331.70
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
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $2,453.92 / $5,243.92	Professional		$661.77	$2,453.92	$5,243.92
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
United Facility/Professional Professional Modifier Low / Median / High Price $2,010.55 / $3,669.59 / $6,007.76	Professional		$2,010.55	$3,669.59	$6,007.76