Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.35 / $7,920.26 / $20,400.00	Facility		$689.35	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $481.76 / $1,193.08	Professional		$256.36	$481.76	$1,193.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.38 / $672.00 / $1,209.13	Professional		$369.38	$672.00	$1,209.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.06 / $736.45 / $1,106.28	Professional		$487.06	$736.45	$1,106.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.84 / $658.94 / $1,035.78	Facility		$376.84	$658.94	$1,035.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $480.68 / $676.67 / $1,062.40	Professional		$480.68	$676.67	$1,062.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $520.87 / $849.54 / $958.10	Facility		$520.87	$849.54	$958.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.50 / $764.55 / $5,478.00	Facility		$409.50	$764.55	$5,478.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $532.98 / $776.16 / $1,142.40	Professional		$532.98	$776.16	$1,142.40
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 $565.21 / $870.75 / $1,249.50	Professional		$565.21	$870.75	$1,249.50
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 $538.24 / $817.12 / $1,259.73	Professional		$538.24	$817.12	$1,259.73