Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.63 / $1,530.00 / $7,920.26	Facility		$548.63	$1,530.00	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $773.16 / $773.16 / $773.16	Facility	50	$773.16	$773.16	$773.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.04 / $459.77 / $1,154.64	Professional		$359.04	$459.77	$1,154.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $639.87 / $681.48	Professional	50	$639.87	$639.87	$681.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.08 / $653.55 / $996.91	Professional		$450.08	$653.55	$996.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.55 / $474.49 / $566.86	Professional		$247.55	$474.49	$566.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.27 / $584.65 / $1,368.96	Facility		$253.27	$584.65	$1,368.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.41 / $681.12 / $904.02	Professional		$363.41	$681.12	$904.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $396.86 / $703.72 / $1,022.42	Facility		$396.86	$703.72	$1,022.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.97 / $616.12 / $1,267.41	Facility		$274.97	$616.12	$1,267.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.68 / $571.16 / $1,057.23	Professional		$407.68	$571.16	$1,057.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,428.83 / $1,813.69 / $2,182.61	Facility		$1,428.83	$1,813.69	$2,182.61
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,143.25 / $2,720.54 / $3,273.92	Facility	50	$2,143.25	$2,720.54	$3,273.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $391.77 / $464.83 / $944.46	Professional		$391.77	$464.83	$944.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.30 / $869.85 / $1,255.80	Professional		$553.30	$869.85	$1,255.80