Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.31 / $1,299.15 / $7,920.26	Facility		$446.31	$1,299.15	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $868.69 / $3,745.76 / $4,770.30	Facility	50	$868.69	$3,745.76	$4,770.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $431.48 / $1,299.15	Professional		$208.71	$431.48	$1,299.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $293.02 / $735.63 / $2,737.14	Professional	50	$293.02	$735.63	$2,737.14
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 $317.49 / $568.11 / $1,189.44	Professional		$317.49	$568.11	$1,189.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.17 / $504.82 / $1,074.06	Professional		$400.17	$504.82	$1,074.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.88 / $592.20 / $1,004.48	Facility		$300.88	$592.20	$1,004.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $326.62 / $613.02 / $988.18	Professional		$326.62	$613.02	$988.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $427.46 / $788.45 / $888.42	Facility		$427.46	$788.45	$888.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.88 / $592.20 / $1,134.41	Facility		$300.88	$592.20	$1,134.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.66 / $637.20 / $1,134.41	Professional		$363.66	$637.20	$1,134.41
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 $366.43 / $614.10 / $1,202.76	Professional		$366.43	$614.10	$1,202.76
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 $602.30 / $849.10 / $1,273.59	Professional		$602.30	$849.10	$1,273.59