Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,585.78 / $14,454.40	Facility		$1,047.13	$7,585.78	$14,454.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility	50	$11,220.18	$11,220.18	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,698.24	Professional		$575.44	$794.33	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,445.44 / $2,041.74	Professional		$758.58	$1,445.44	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,819.70	Professional		$831.76	$1,258.93	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,258.93 / $9,332.54	Facility		$741.31	$1,258.93	$9,332.54
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility	50	$11,220.18	$11,220.18	$11,220.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,862.09	Professional		$831.76	$1,202.26	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,479.11	Facility		$1,047.13	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,862.09	Facility		$707.95	$1,047.13	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,905.46	Professional		$79.43	$1,318.26	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $13,803.84	Facility		$8,511.38	$11,748.98	$13,803.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $17,378.01 / $20,892.96	Facility	50	$12,882.50	$17,378.01	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,905.46	Professional		$1,096.48	$1,412.54	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,905.46	Professional		$851.14	$1,318.26	$1,905.46