Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $13,182.57	Facility		$1,230.27	$1,778.28	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility	50	$7,585.78	$7,585.78	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,479.11	Professional		$575.44	$776.25	$1,479.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $933.25 / $933.25	Professional	50	$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,949.84	Professional		$776.25	$1,148.15	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $1,862.09	Professional		$831.76	$1,348.96	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,862.09	Facility		$707.95	$1,047.13	$1,862.09
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility	50	$7,585.78	$7,585.78	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,819.70	Professional		$912.01	$1,258.93	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,548.82	Facility		$1,047.13	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,819.70	Facility		$676.08	$1,047.13	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,905.46	Professional		$79.43	$1,288.25	$1,905.46
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 $1,230.27 / $1,584.89 / $2,041.74	Professional		$1,230.27	$1,584.89	$2,041.74
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 $831.76 / $1,318.26 / $1,995.26	Professional		$831.76	$1,318.26	$1,995.26