Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $7,920.26 / $20,400.00	Facility		$649.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $1,502.19 / $8,449.68	Professional		$296.93	$1,502.19	$8,449.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $502.36 / $2,253.28 / $2,253.28	Professional	50	$502.36	$2,253.28	$2,253.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.51 / $3,221.18 / $9,455.39	Professional		$471.51	$3,221.18	$9,455.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.72 / $815.01 / $8,174.00	Professional		$554.72	$815.01	$8,174.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.36 / $3,082.69 / $10,619.90	Facility		$397.36	$3,082.69	$10,619.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $479.28 / $5,175.97 / $10,289.23	Professional		$479.28	$5,175.97	$10,289.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.91 / $6,385.24 / $7,822.25	Facility		$586.91	$6,385.24	$7,822.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.36 / $5,540.67 / $10,619.90	Facility		$397.36	$5,540.67	$10,619.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $569.60 / $4,516.16 / $9,912.24	Professional		$569.60	$4,516.16	$9,912.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $41,892.06 / $54,410.37 / $65,354.61	Facility	50	$41,892.06	$54,410.37	$65,354.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $576.19 / $1,025.46 / $9,858.74	Professional		$576.19	$1,025.46	$9,858.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,968.13 / $8,483.04 / $11,069.86	Professional		$4,968.13	$8,483.04	$11,069.86