Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,943.28 / $22,908.68	Facility		$2,511.89	$7,943.28	$22,908.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility	50	$21,379.62	$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 $1,949.84 / $2,570.40 / $3,019.95	Professional		$1,949.84	$2,570.40	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $3,715.35	Facility		$1,258.93	$2,089.30	$3,715.35
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility	50	$21,379.62	$21,379.62	$21,379.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Facility		$2,137.96	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,090.30	Facility		$1,258.93	$1,995.26	$3,090.30
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