Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,168.69 / $13,182.57	Facility		$2,041.74	$4,168.69	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $3,019.95	Professional		$812.83	$1,148.15	$3,019.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $6,918.31	Professional	50	$1,230.27	$1,230.27	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,754.23	Professional		$1,071.52	$1,659.59	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,949.84 / $2,238.72	Professional		$977.24	$1,949.84	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $3,467.37	Facility		$1,071.52	$1,584.89	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,630.27	Professional		$1,348.96	$1,659.59	$2,630.27
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $6,918.31	Professional	50	$1,230.27	$1,230.27	$6,918.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,089.30	Facility		$1,318.26	$1,819.70	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,454.71	Facility		$977.24	$1,513.56	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $2,630.27	Professional		$79.43	$1,737.80	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,182.57 / $18,197.01 / $21,877.62	Facility	50	$13,182.57	$18,197.01	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,691.53	Professional		$1,905.46	$2,238.72	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $2,691.53	Professional		$1,148.15	$1,778.28	$2,691.53