Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,445.44 / $7,943.28	Facility		$912.01	$1,445.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,258.93	Professional		$436.52	$630.96	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $645.65 / $1,905.46	Professional	50	$478.63	$645.65	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,445.44	Professional		$562.34	$851.14	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,412.54	Professional		$630.96	$954.99	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,380.38	Facility		$524.81	$812.83	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,348.96	Professional		$660.69	$933.25	$1,348.96
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	50	$478.63	$478.63	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,174.90	Facility		$794.33	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,318.26	Facility		$489.78	$794.33	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,380.38	Professional		$79.43	$933.25	$1,380.38
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 $891.25 / $1,148.15 / $1,513.56	Professional		$891.25	$1,148.15	$1,513.56
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 $630.96 / $954.99 / $1,479.11	Professional		$630.96	$954.99	$1,479.11