Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,288.25 / $6,606.93	Facility		$446.68	$1,288.25	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $3,890.45 / $7,585.78	Facility	50	$2,398.83	$3,890.45	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $1,318.26	Professional		$208.93	$426.58	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $616.60 / $2,754.23	Professional	50	$288.40	$616.60	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $1,122.02	Professional		$263.03	$501.19	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,148.15	Professional		$331.13	$501.19	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $467.74 / $1,122.02	Facility		$194.98	$467.74	$1,122.02
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $3,715.35 / $7,585.78	Facility	50	$2,398.83	$3,715.35	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $1,071.52	Professional		$302.00	$616.60	$1,071.52
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $616.60 / $2,754.23	Professional	50	$275.42	$616.60	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $891.25	Facility		$562.34	$794.33	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $457.09 / $933.25	Facility		$223.87	$457.09	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $524.81 / $1,122.02	Professional		$95.50	$524.81	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,244.36 / $9,120.11 / $11,220.18	Facility	50	$7,244.36	$9,120.11	$11,220.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $1,122.02	Professional		$363.08	$616.60	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,000.00	Professional		$331.13	$562.34	$1,000.00