Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,315.64 / $7,920.26 / $20,400.00	Facility		$2,315.64	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $1,117.04 / $2,246.82	Professional		$765.90	$1,117.04	$2,246.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $1,241.33	Professional	50	$1,241.33	$1,241.33	$1,241.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.15 / $1,608.61 / $2,743.64	Professional		$982.15	$1,608.61	$2,743.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.83 / $2,156.94 / $2,409.34	Professional		$1,044.83	$2,156.94	$2,409.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.83 / $1,619.50 / $2,600.01	Facility		$1,044.83	$1,619.50	$2,600.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.42 / $1,660.98 / $3,139.32	Professional		$1,443.42	$1,660.98	$3,139.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,275.69 / $1,783.60 / $2,072.98	Facility		$1,275.69	$1,783.60	$2,072.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,220.57 / $2,246.82 / $6,437.00	Facility		$1,220.57	$2,246.82	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,446.66 / $1,985.88 / $2,743.64	Professional		$1,446.66	$1,985.88	$2,743.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,220.90 / $17,916.71 / $21,710.84	Facility	50	$13,220.90	$17,916.71	$21,710.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,899.21 / $2,029.05 / $2,809.46	Professional		$1,899.21	$2,029.05	$2,809.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,158.52 / $1,783.68 / $2,697.36	Professional		$1,158.52	$1,783.68	$2,697.36