Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,951.21 / $8,709.64	Facility		$467.74	$2,951.21	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	50	$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $851.14 / $2,089.30	Professional		$229.09	$851.14	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,071.52 / $3,388.44	Professional		$323.59	$1,071.52	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $2,951.21	Professional		$398.11	$588.84	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,174.90 / $2,884.03	Facility		$275.42	$1,174.90	$2,884.03
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	50	$2,630.27	$2,630.27	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,412.54 / $2,818.38	Professional		$363.08	$1,412.54	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,570.40	Facility		$1,698.24	$2,344.23	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $977.24 / $2,754.23	Facility		$269.15	$977.24	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $645.65 / $3,311.31	Professional		$79.43	$645.65	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,513.56 / $3,162.28	Professional		$446.68	$1,513.56	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,047.13 / $3,235.94	Professional		$295.12	$1,047.13	$3,235.94