Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $13,489.63 / $21,877.62	Facility		$1,905.46	$13,489.63	$21,877.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,848.93 / $21,379.62 / $21,379.62	Facility	50	$15,848.93	$21,379.62	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,238.72	Professional		$1,445.44	$1,905.46	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,584.89 / $14,454.40	Facility		$912.01	$1,584.89	$14,454.40
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $15,848.93 / $21,379.62 / $21,379.62	Facility	50	$15,848.93	$21,379.62	$21,379.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $1,905.46	Facility		$1,548.82	$1,778.28	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,290.87	Facility		$912.01	$1,445.44	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,118.86 / $33,884.42 / $40,738.03	Facility	50	$25,118.86	$33,884.42	$40,738.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78