Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.15 / $7,920.26 / $20,400.00	Facility		$955.15	$7,920.26	$20,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,858.45 / $7,858.45 / $7,966.81	Facility	50	$7,858.45	$7,858.45	$7,966.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.75 / $653.09 / $1,226.90	Professional		$397.75	$653.09	$1,226.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $780.44 / $1,470.15	Professional	50	$78.04	$780.44	$1,470.15
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 $502.91 / $758.53 / $1,356.67	Professional		$502.91	$758.53	$1,356.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.57 / $1,008.80 / $1,260.43	Professional		$551.57	$1,008.80	$1,260.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $509.63 / $840.43 / $1,201.81	Facility		$509.63	$840.43	$1,201.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.24 / $821.86 / $1,364.41	Professional		$675.24	$821.86	$1,364.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $608.53 / $911.76 / $1,085.40	Facility		$608.53	$911.76	$1,085.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.65 / $952.08 / $6,120.00	Facility		$550.65	$952.08	$6,120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.38 / $961.86 / $1,285.40	Professional		$722.38	$961.86	$1,285.40
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 $782.93 / $1,043.60 / $1,402.06	Professional		$782.93	$1,043.60	$1,402.06
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 $657.19 / $935.68 / $1,497.09	Professional		$657.19	$935.68	$1,497.09