Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.23 / $2,747.00 / $13,746.00	Facility		$1,470.23	$2,747.00	$13,746.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,893.99 / $8,215.99 / $10,650.96	Facility	50	$4,893.99	$8,215.99	$10,650.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $703.40 / $1,799.75	Professional		$519.99	$703.40	$1,799.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $733.32 / $835.47 / $4,506.14	Professional	50	$733.32	$835.47	$4,506.14
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 $701.89 / $1,115.00 / $1,843.32	Professional		$701.89	$1,115.00	$1,843.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.36 / $1,382.28 / $1,720.64	Professional		$750.36	$1,382.28	$1,720.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.71 / $1,144.44 / $1,762.92	Facility		$695.71	$1,144.44	$1,762.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $946.05 / $1,170.44 / $1,877.90	Professional		$946.05	$1,170.44	$1,877.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $869.82 / $1,353.89 / $1,482.04	Facility		$869.82	$1,353.89	$1,482.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.70 / $1,308.32 / $6,120.00	Facility		$755.70	$1,308.32	$6,120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,001.88 / $1,350.36 / $1,799.75	Professional		$1,001.88	$1,350.36	$1,799.75
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 $1,076.30 / $1,424.28 / $1,925.00	Professional		$1,076.30	$1,424.28	$1,925.00
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 $964.58 / $1,359.79 / $1,969.60	Professional		$964.58	$1,359.79	$1,969.60