Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $4,463.42 / $9,449.26	Facility		$743.00	$4,463.42	$9,449.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,471.80 / $6,741.58 / $14,679.52	Facility	50	$5,471.80	$6,741.58	$14,679.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.88 / $595.42 / $2,302.00	Professional		$391.88	$595.42	$2,302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.57 / $1,457.56 / $5,876.70	Professional	50	$206.57	$1,457.56	$5,876.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.06 / $849.93 / $1,262.42	Professional		$495.06	$849.93	$1,262.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $848.51 / $999.26 / $1,177.51	Professional		$848.51	$999.26	$1,177.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $568.16 / $805.52 / $1,049.75	Facility		$568.16	$805.52	$1,049.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $654.53 / $776.63 / $1,256.69	Professional		$654.53	$776.63	$1,256.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $595.94 / $815.39 / $911.20	Facility		$595.94	$815.39	$911.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.71 / $822.12 / $1,303.33	Facility		$569.71	$822.12	$1,303.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.65 / $896.40 / $1,227.77	Professional		$748.65	$896.40	$1,227.77
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 $803.69 / $1,055.58 / $1,406.86	Professional		$803.69	$1,055.58	$1,406.86
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 $593.04 / $845.31 / $1,352.30	Professional		$593.04	$845.31	$1,352.30