Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,479.11 / $13,803.84	Facility		$707.95	$1,479.11	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,479.11	Professional		$436.52	$691.83	$1,479.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional	50	$2,041.74	$2,041.74	$2,041.74
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 $549.54 / $912.01 / $1,621.81	Professional		$549.54	$912.01	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,584.89	Professional		$645.65	$954.99	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,513.56	Facility		$501.19	$870.96	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,479.11	Professional		$660.69	$977.24	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,288.25	Facility		$831.76	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $1,412.54	Facility		$489.78	$851.14	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,513.56	Professional		$79.43	$977.24	$1,513.56
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 $870.96 / $1,174.90 / $1,659.59	Professional		$870.96	$1,174.90	$1,659.59
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 $616.60 / $1,000.00 / $1,621.81	Professional		$616.60	$1,000.00	$1,621.81