Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.83 / $7,074.00 / $20,400.00	Facility		$1,000.83	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $561.44 / $1,310.81	Professional		$400.26	$561.44	$1,310.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,557.42 / $1,557.42 / $1,557.42	Professional	50	$1,557.42	$1,557.42	$1,557.42
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 $540.82 / $857.62 / $1,472.07	Professional		$540.82	$857.62	$1,472.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.88 / $1,059.14 / $1,371.67	Professional		$599.88	$1,059.14	$1,371.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $554.61 / $919.94 / $1,385.27	Facility		$554.61	$919.94	$1,385.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.65 / $932.94 / $1,436.54	Professional		$722.65	$932.94	$1,436.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $695.46 / $1,063.07 / $1,179.20	Facility		$695.46	$1,063.07	$1,179.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $586.60 / $1,011.41 / $5,478.00	Facility		$586.60	$1,011.41	$5,478.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $773.77 / $1,071.83 / $1,399.20	Professional		$773.77	$1,071.83	$1,399.20
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 $820.45 / $1,131.66 / $1,529.50	Professional		$820.45	$1,131.66	$1,529.50
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 $766.38 / $1,088.33 / $1,622.54	Professional		$766.38	$1,088.33	$1,622.54