Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,128.61 / $13,803.84	Facility		$812.83	$5,128.61	$13,803.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $8,511.38 / $11,220.18	Facility	50	$3,630.78	$8,511.38	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $831.76 / $954.99	Professional		$407.38	$831.76	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $891.25 / $5,128.61	Facility		$501.19	$891.25	$5,128.61
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $8,511.38 / $11,220.18	Facility	50	$3,630.78	$8,511.38	$11,220.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $1,288.25	Facility		$741.31	$912.01	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,513.56	Facility		$501.19	$870.96	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $10,964.78 / $13,182.57	Facility	50	$8,128.31	$10,964.78	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50