Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,168.69 / $13,182.57	Facility		$588.84	$4,168.69	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,230.27	Professional		$323.59	$588.84	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $575.44 / $933.25	Professional	50	$245.47	$575.44	$933.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $338.84 / $380.19 / $380.19	Professional	52	$338.84	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $1,230.27	Professional		$416.87	$676.08	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $1,000.00	Professional		$407.38	$660.69	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $812.83 / $6,606.93	Facility		$354.81	$812.83	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $812.83 / $1,288.25	Professional		$426.58	$812.83	$1,288.25
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $575.44 / $933.25	Professional	50	$245.47	$575.44	$933.25
Moda Health Facility/Professional Professional Modifier 52 Low / Median / High Price $338.84 / $338.84 / $380.19	Professional	52	$338.84	$338.84	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $1,258.93	Facility		$676.08	$831.76	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $602.56 / $1,412.54	Facility		$354.81	$602.56	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $1,174.90	Professional		$79.43	$707.95	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,748.98 / $15,135.61 / $18,620.87	Facility	50	$11,748.98	$15,135.61	$18,620.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,071.52	Professional		$512.86	$812.83	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,348.96	Professional		$489.78	$831.76	$1,348.96