Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,818.38 / $9,332.54	Facility		$616.60	$2,818.38	$9,332.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,818.38	Facility	50	$2,691.53	$2,691.53	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $1,071.52	Professional		$223.87	$457.09	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $1,348.96	Professional		$512.86	$933.25	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,148.15	Professional		$676.08	$891.25	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $977.24 / $6,606.93	Facility		$436.52	$977.24	$6,606.93
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,818.38	Facility	50	$2,691.53	$2,691.53	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,202.26	Professional		$537.03	$758.58	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $891.25	Facility		$616.60	$851.14	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $616.60 / $1,047.13	Facility		$436.52	$616.60	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,202.26	Professional		$79.43	$851.14	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $17,782.79 / $21,379.62	Facility	50	$12,882.50	$17,782.79	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,202.26	Professional		$812.83	$954.99	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,982.44	Facility		$1,995.26	$10,232.93	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,230.27	Professional		$537.03	$851.14	$1,230.27