Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,513.56 / $5,011.87	Facility		$549.54	$1,513.56	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	50	$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $1,122.02	Professional		$263.03	$457.09	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $676.08 / $1,659.59	Professional	50	$645.65	$676.08	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $831.76	Professional		$323.59	$524.81	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $588.84	Professional		$263.03	$457.09	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $575.44 / $1,513.56	Facility		$251.19	$575.44	$1,513.56
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	50	$776.25	$776.25	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $954.99	Professional		$338.84	$630.96	$954.99
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $676.08 / $1,659.59	Professional	50	$645.65	$676.08	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $489.78 / $1,000.00	Facility		$398.11	$489.78	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $524.81 / $1,174.90	Facility		$245.47	$524.81	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $1,000.00	Professional		$79.43	$512.86	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,187.76	Facility		$1,412.54	$1,819.70	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $2,754.23 / $3,311.31	Facility	50	$2,137.96	$2,754.23	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,023.29	Professional		$416.87	$524.81	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $7,413.10	Facility		$1,096.48	$2,398.83	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,258.93	Professional		$537.03	$870.96	$1,258.93