Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,230.27 / $5,128.61	Facility		$204.17	$1,230.27	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $3,630.78 / $7,585.78	Facility	50	$660.69	$3,630.78	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $537.03	Professional		$87.10	$173.78	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $281.84 / $1,023.29	Professional	50	$131.83	$281.84	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $446.68	Professional		$117.49	$229.09	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $467.74	Professional		$154.88	$234.42	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $204.17 / $602.56	Facility		$91.20	$204.17	$602.56
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $2,344.23 / $5,754.40	Facility	50	$660.69	$2,344.23	$5,754.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $446.68	Professional		$141.25	$269.15	$446.68
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $281.84 / $1,000.00	Professional	50	$125.89	$281.84	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $331.13 / $354.81	Facility		$234.42	$331.13	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $389.05	Facility		$100.00	$194.98	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $436.52	Professional		$79.43	$229.09	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,630.78	Facility		$2,290.87	$2,884.03	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $4,365.16 / $5,495.41	Facility	50	$3,388.44	$4,365.16	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $446.68	Professional		$169.82	$269.15	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $416.87	Professional		$131.83	$239.88	$416.87