Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.08 / $2,747.00 / $13,746.00	Facility		$1,186.08	$2,747.00	$13,746.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.99 / $5,011.99 / $5,011.99	Facility	50	$5,011.99	$5,011.99	$5,011.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $641.66 / $1,301.08	Professional		$428.62	$641.66	$1,301.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.71 / $1,181.43 / $1,622.06	Professional	50	$1,141.71	$1,181.43	$1,622.06
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 $574.13 / $901.79 / $1,503.51	Professional		$574.13	$901.79	$1,503.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.35 / $1,115.86 / $1,404.20	Professional		$612.35	$1,115.86	$1,404.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $567.76 / $953.65 / $1,428.43	Facility		$567.76	$953.65	$1,428.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $767.55 / $966.06 / $1,516.11	Professional		$767.55	$966.06	$1,516.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $765.17 / $1,095.82 / $1,208.01	Facility		$765.17	$1,095.82	$1,208.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.35 / $1,056.28 / $6,120.00	Facility		$612.35	$1,056.28	$6,120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $819.72 / $1,101.74 / $1,462.51	Professional		$819.72	$1,101.74	$1,462.51
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 $867.81 / $1,160.14 / $1,568.00	Professional		$867.81	$1,160.14	$1,568.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.22 / $1,104.99 / $1,600.54	Professional		$786.22	$1,104.99	$1,600.54