Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,570.88 / $9,549.93	Facility		$676.08	$4,570.88	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $7,762.47 / $14,791.08	Facility	50	$6,025.60	$7,762.47	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $2,290.87	Professional		$389.05	$588.84	$2,290.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,445.44 / $5,888.44	Professional	50	$616.60	$1,445.44	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,202.26	Professional		$467.74	$812.83	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,202.26	Professional		$794.33	$1,000.00	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $794.33 / $6,456.54	Facility		$446.68	$794.33	$6,456.54
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $7,762.47 / $10,964.78	Facility	50	$6,025.60	$7,762.47	$10,964.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,174.90	Professional		$616.60	$776.25	$1,174.90
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,412.54 / $1,905.46	Professional	50	$616.60	$1,412.54	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $912.01	Facility		$602.56	$831.76	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $676.08 / $1,023.29	Facility		$446.68	$676.08	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,202.26	Professional		$79.43	$851.14	$1,202.26
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 $741.31 / $912.01 / $1,258.93	Professional		$741.31	$912.01	$1,258.93
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 $575.44 / $831.76 / $1,174.90	Professional		$575.44	$831.76	$1,174.90