Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.67 / $4,121.47 / $13,320.00	Facility		$577.67	$4,121.47	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.06 / $609.62 / $1,397.49	Professional		$386.06	$609.62	$1,397.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $936.61 / $936.61 / $936.61	Professional	50	$936.61	$936.61	$936.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $176.59 / $320.93 / $1,163.73	Professional	52	$176.59	$320.93	$1,163.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.10 / $803.26 / $1,214.86	Professional		$544.10	$803.26	$1,214.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.04 / $663.76 / $978.38	Professional		$490.04	$663.76	$978.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $353.17 / $759.32 / $1,562.89	Facility		$353.17	$759.32	$1,562.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.59 / $805.20 / $1,288.96	Professional		$450.59	$805.20	$1,288.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.45 / $840.85 / $1,251.56	Facility		$630.45	$840.85	$1,251.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.17 / $864.89 / $1,562.89	Facility		$353.17	$864.89	$1,562.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.08 / $821.48 / $1,270.13	Professional		$520.08	$821.48	$1,270.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,716.70 / $15,269.16 / $17,898.62	Facility	50	$11,716.70	$15,269.16	$17,898.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $515.33 / $778.63 / $1,199.54	Professional		$515.33	$778.63	$1,199.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.37 / $1,093.19 / $1,400.82	Professional		$659.37	$1,093.19	$1,400.82