Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.10 / $10,562.62 / $15,181.42	Facility		$960.10	$10,562.62	$15,181.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,067.50 / $15,067.50 / $15,527.65	Facility	50	$15,067.50	$15,067.50	$15,527.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.81 / $780.57 / $2,139.00	Professional		$463.81	$780.57	$2,139.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,901.32	Facility		$2,059.63	$2,059.63	$2,901.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.23 / $985.54 / $1,452.99	Professional		$528.23	$985.54	$1,452.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $833.01 / $1,093.82 / $1,346.99	Professional		$833.01	$1,093.82	$1,346.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $567.36 / $939.03 / $1,422.65	Facility		$567.36	$939.03	$1,422.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $787.95 / $922.92 / $1,554.03	Professional		$787.95	$922.92	$1,554.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $697.70 / $989.59 / $1,059.94	Facility		$697.70	$989.59	$1,059.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.77 / $1,049.99 / $1,822.73	Facility		$633.77	$1,049.99	$1,822.73
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $201.20 / $201.20 / $201.20	Facility	80	$201.20	$201.20	$201.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.02 / $171.02 / $171.02	Facility	AS	$171.02	$171.02	$171.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $863.57 / $1,135.34 / $1,477.10	Professional		$863.57	$1,135.34	$1,477.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $13,092.93	Facility		$8,763.99	$12,680.11	$13,092.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,145.99 / $19,020.16 / $19,639.40	Facility	50	$13,145.99	$19,020.16	$19,639.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $966.22 / $1,233.85 / $1,549.12	Professional		$966.22	$1,233.85	$1,549.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.51 / $1,052.08 / $1,627.56	Professional		$765.51	$1,052.08	$1,627.56