Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $13,803.84	Facility		$831.76	$1,230.27	$13,803.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility	50	$7,943.28	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,230.27	Professional		$407.38	$588.84	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $616.60 / $1,949.84	Professional	50	$77.62	$616.60	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,348.96	Professional		$501.19	$776.25	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,318.26	Professional		$588.84	$912.01	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $13,803.84	Facility		$660.69	$912.01	$13,803.84
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility	50	$7,943.28	$7,943.28	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,348.96	Professional		$616.60	$831.76	$1,348.96
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $1,479.11 / $2,238.72	Professional	50	$77.62	$1,479.11	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,096.48	Facility		$691.83	$977.24	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,202.26	Facility		$446.68	$758.58	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,258.93	Professional		$79.43	$851.14	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $10,964.78 / $13,182.57	Facility	50	$8,128.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,380.38	Professional		$831.76	$1,071.52	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,348.96	Professional		$549.54	$870.96	$1,348.96