Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.49 / $7,413.00 / $14,557.00	Facility		$1,128.49	$7,413.00	$14,557.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,119.50 / $11,119.50 / $11,119.50	Facility	50	$11,119.50	$11,119.50	$11,119.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.17 / $897.67 / $1,986.45	Professional		$591.17	$897.67	$1,986.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.23 / $1,441.33 / $2,022.71	Professional		$870.23	$1,441.33	$2,022.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,095.04 / $1,403.05 / $1,780.67	Professional		$1,095.04	$1,403.05	$1,780.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $744.77 / $1,355.94 / $1,955.34	Facility		$744.77	$1,355.94	$1,955.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $920.67 / $1,248.59 / $2,028.54	Professional		$920.67	$1,248.59	$2,028.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.03 / $1,355.41 / $1,563.89	Facility		$851.03	$1,355.41	$1,563.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.77 / $1,514.28 / $2,143.27	Facility		$744.77	$1,514.28	$2,143.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,069.25 / $1,454.61 / $2,026.76	Professional		$1,069.25	$1,454.61	$2,026.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,525.75 / $13,806.81	Facility		$8,508.06	$11,525.75	$13,806.81
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,762.09 / $17,288.63 / $20,710.22	Facility	50	$12,762.09	$17,288.63	$20,710.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,092.16 / $1,473.19 / $2,085.44	Professional		$1,092.16	$1,473.19	$2,085.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.31 / $1,558.77 / $2,341.65	Professional		$1,120.31	$1,558.77	$2,341.65