Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.04 / $2,229.92 / $7,920.26	Facility		$475.04	$2,229.92	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,409.75 / $2,409.75 / $8,426.81	Facility	50	$2,409.75	$2,409.75	$8,426.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.03 / $425.72 / $1,183.50	Professional		$213.03	$425.72	$1,183.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.20 / $589.01 / $1,997.78	Professional	50	$315.20	$589.01	$1,997.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.08 / $575.19 / $1,178.85	Professional		$320.08	$575.19	$1,178.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.93 / $504.45 / $1,064.36	Professional		$399.93	$504.45	$1,064.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.93 / $597.72 / $1,014.26	Facility		$304.93	$597.72	$1,014.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $326.62 / $624.24 / $979.83	Professional		$326.62	$624.24	$979.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $433.49 / $795.66 / $881.05	Facility		$433.49	$795.66	$881.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.93 / $597.72 / $1,124.10	Facility		$304.93	$597.72	$1,124.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.01 / $642.05 / $1,138.39	Professional		$363.01	$642.05	$1,138.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,269.24 / $9,213.46 / $10,841.87	Facility	50	$7,269.24	$9,213.46	$10,841.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $365.78 / $619.51 / $1,191.83	Professional		$365.78	$619.51	$1,191.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.94 / $835.80 / $1,287.60	Professional		$608.94	$835.80	$1,287.60