Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.39 / $11,480.00 / $21,216.91	Facility		$1,005.39	$11,480.00	$21,216.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,038.00 / $17,755.50 / $18,960.00	Facility	50	$12,038.00	$17,755.50	$18,960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $560.64 / $1,838.00	Professional		$415.50	$560.64	$1,838.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.23 / $919.46 / $1,203.66	Professional		$575.23	$919.46	$1,203.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.97 / $929.85 / $1,046.92	Professional		$655.97	$929.85	$1,046.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $535.04 / $825.59 / $1,150.33	Facility		$535.04	$825.59	$1,150.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $657.54 / $849.67 / $1,307.10	Professional		$657.54	$849.67	$1,307.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.22 / $792.61 / $820.08	Facility		$572.22	$792.61	$820.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.04 / $966.81 / $1,150.33	Facility		$535.04	$966.81	$1,150.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $726.98 / $960.79 / $1,203.66	Professional		$726.98	$960.79	$1,203.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $17,890.86 / $24,101.73 / $29,055.42	Facility	50	$17,890.86	$24,101.73	$29,055.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $744.80 / $1,004.29 / $1,283.98	Professional		$744.80	$1,004.29	$1,283.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $15,055.00 / $17,644.00	Facility		$2,912.00	$15,055.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.94 / $884.72 / $1,288.36	Professional		$634.94	$884.72	$1,288.36