Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.85 / $12,919.82 / $36,640.62	Facility		$1,480.85	$12,919.82	$36,640.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,831.80 / $18,081.00 / $50,942.97	Facility	50	$7,831.80	$18,081.00	$50,942.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $641.71 / $1,805.00	Professional		$361.88	$641.71	$1,805.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $4,924.56	Facility		$2,059.63	$2,059.63	$4,924.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.97 / $820.15 / $1,200.50	Professional		$452.97	$820.15	$1,200.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.82 / $908.42 / $1,121.08	Professional		$691.82	$908.42	$1,121.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.32 / $779.96 / $1,170.88	Facility		$468.32	$779.96	$1,170.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $649.74 / $764.94 / $1,288.80	Professional		$649.74	$764.94	$1,288.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $599.33 / $814.72 / $879.04	Facility		$599.33	$814.72	$879.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.30 / $870.02 / $1,511.64	Facility		$523.30	$870.02	$1,511.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $166.38 / $166.38 / $166.38	Facility	80	$166.38	$166.38	$166.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $141.43 / $141.43 / $141.43	Facility	AS	$141.43	$141.43	$141.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.82 / $938.88 / $1,217.13	Professional		$712.82	$938.88	$1,217.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $20,436.45 / $27,989.25 / $32,400.05	Facility	50	$20,436.45	$27,989.25	$32,400.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $799.54 / $1,021.02 / $1,274.10	Professional		$799.54	$1,021.02	$1,274.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.26 / $862.50 / $1,356.83	Professional		$588.26	$862.50	$1,356.83