Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.91 / $2,824.50 / $7,920.26	Facility		$588.91	$2,824.50	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,614.50 / $4,236.75 / $11,904.30	Facility	50	$2,614.50	$4,236.75	$11,904.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $767.87 / $2,698.25	Professional		$297.81	$767.87	$2,698.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,332.66 / $2,332.66 / $6,015.33	Professional	50	$2,332.66	$2,332.66	$6,015.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $500.98 / $500.98	Facility		$500.98	$500.98	$500.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.92 / $1,130.99 / $4,004.14	Professional		$456.92	$1,130.99	$4,004.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.32 / $795.82 / $3,372.36	Professional		$583.32	$795.82	$3,372.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.82 / $1,413.74 / $3,956.75	Facility		$387.82	$1,413.74	$3,956.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $493.05 / $2,161.02 / $3,662.28	Professional		$493.05	$2,161.02	$3,662.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $594.29 / $2,657.76 / $3,051.85	Facility		$594.29	$2,657.76	$3,051.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.91 / $1,526.11 / $3,956.75	Facility		$389.91	$1,526.11	$3,956.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $564.38 / $1,801.13 / $3,912.99	Professional		$564.38	$1,801.13	$3,912.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $563.24 / $1,716.24 / $3,763.76	Professional		$563.24	$1,716.24	$3,763.76
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 $1,560.15 / $2,982.87 / $4,468.24	Professional		$1,560.15	$2,982.87	$4,468.24