Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $11,481.54 / $21,877.62	Facility		$1,023.29	$11,481.54	$21,877.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,182.57 / $15,135.61 / $15,488.17	Facility	50	$13,182.57	$15,135.61	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $2,511.89	Professional		$467.74	$794.33	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,884.03	Facility		$2,041.74	$2,041.74	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $912.01 / $1,380.38	Professional		$380.19	$912.01	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,258.93	Professional		$758.58	$1,047.13	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $1,659.59	Facility		$524.81	$776.25	$1,659.59
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $13,182.57 / $15,135.61 / $15,488.17	Facility	50	$13,182.57	$15,135.61	$15,488.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,348.96	Professional		$691.83	$933.25	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,071.52	Facility		$724.44	$1,000.00	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,230.27	Facility		$501.19	$741.31	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,412.54	Professional		$79.43	$1,023.29	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,182.57 / $18,197.01 / $21,877.62	Facility	50	$13,182.57	$18,197.01	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,412.54	Professional		$954.99	$1,122.02	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,445.44	Professional		$588.84	$1,000.00	$1,445.44