Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.61 / $4,962.67 / $15,341.00	Facility		$920.61	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.02 / $642.39 / $1,259.16	Professional		$408.02	$642.39	$1,259.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $481.90 / $1,104.56	Professional	50	$481.90	$481.90	$1,104.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.72 / $864.87 / $1,460.28	Professional		$550.72	$864.87	$1,460.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.60 / $1,075.75 / $1,361.01	Professional		$594.60	$1,075.75	$1,361.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $550.29 / $889.02 / $1,379.46	Facility		$550.29	$889.02	$1,379.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $734.40 / $930.24 / $1,459.90	Professional		$734.40	$930.24	$1,459.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $661.29 / $1,057.82 / $1,171.83	Facility		$661.29	$1,057.82	$1,171.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.33 / $1,016.39 / $3,065.00	Facility		$588.33	$1,016.39	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.74 / $1,069.50 / $1,413.47	Professional		$784.74	$1,069.50	$1,413.47
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 $837.05 / $1,127.11 / $1,523.38	Professional		$837.05	$1,127.11	$1,523.38
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 $727.65 / $1,067.94 / $1,546.88	Professional		$727.65	$1,067.94	$1,546.88