Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.75 / $2,747.00 / $13,746.00	Facility		$1,008.75	$2,747.00	$13,746.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,184.99 / $11,226.56 / $13,389.97	Facility	50	$1,184.99	$11,226.56	$13,389.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.75 / $777.26 / $2,205.08	Professional		$450.75	$777.26	$2,205.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $405.48 / $781.70 / $2,975.00	Professional	50	$405.48	$781.70	$2,975.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.98 / $956.54 / $1,623.17	Professional		$603.98	$956.54	$1,623.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.97 / $1,173.52 / $1,516.43	Professional		$661.97	$1,173.52	$1,516.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.14 / $1,015.07 / $1,541.31	Facility		$613.14	$1,015.07	$1,541.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $803.24 / $1,032.21 / $1,596.74	Professional		$803.24	$1,032.21	$1,596.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $755.26 / $1,183.58 / $1,304.49	Facility		$755.26	$1,183.58	$1,304.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $652.79 / $1,111.48 / $6,120.00	Facility		$652.79	$1,111.48	$6,120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $865.22 / $1,185.44 / $1,550.82	Professional		$865.22	$1,185.44	$1,550.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $914.55 / $1,251.42 / $1,691.37	Professional		$914.55	$1,251.42	$1,691.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $8,762.09 / $12,786.00	Facility		$1,981.00	$8,762.09	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $849.02 / $1,207.80 / $1,722.94	Professional		$849.02	$1,207.80	$1,722.94