Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $7,943.28 / $18,620.87	Facility		$1,148.15	$7,943.28	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility	50	$18,197.01	$18,197.01	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,365.16	Facility		$2,884.03	$2,884.03	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,412.54	Professional		$851.14	$1,174.90	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $870.96 / $1,479.11	Facility		$588.84	$870.96	$1,479.11
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility	50	$18,197.01	$18,197.01	$18,197.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,202.26	Facility		$870.96	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $1,380.38	Facility		$562.34	$870.96	$1,380.38
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
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