Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,513.56 / $6,606.93	Facility		$676.08	$1,513.56	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $5,495.41 / $6,165.95	Facility	50	$5,495.41	$5,495.41	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $831.76 / $1,258.93	Professional		$354.81	$831.76	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $1,122.02 / $9,549.93	Professional	50	$602.56	$1,122.02	$9,549.93
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 $380.19 / $549.54 / $954.99	Professional		$380.19	$549.54	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $812.83	Professional		$363.08	$602.56	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $2,454.71	Facility		$338.84	$575.44	$2,454.71
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $5,495.41 / $6,165.95	Facility	50	$5,495.41	$5,495.41	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,819.70	Professional		$457.09	$707.95	$1,819.70
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional	50	$1,122.02	$1,122.02	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $660.69 / $1,819.70	Facility		$549.54	$660.69	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $2,137.96	Facility		$338.84	$602.56	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $645.65 / $1,548.82	Professional		$79.43	$645.65	$1,548.82
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 $575.44 / $707.95 / $870.96	Professional		$575.44	$707.95	$870.96
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 $446.68 / $758.58 / $1,819.70	Professional		$446.68	$758.58	$1,819.70