Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.66 / $7,920.26 / $20,400.00	Facility		$1,440.66	$7,920.26	$20,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,552.48 / $7,552.48 / $7,552.48	Facility	50	$7,552.48	$7,552.48	$7,552.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.97 / $810.40 / $1,697.44	Professional		$571.97	$810.40	$1,697.44
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 $737.95 / $1,176.82 / $1,929.13	Professional		$737.95	$1,176.82	$1,929.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $786.83 / $1,499.69 / $1,808.99	Professional		$786.83	$1,499.69	$1,808.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $682.23 / $1,219.58 / $1,855.83	Facility		$682.23	$1,219.58	$1,855.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.40 / $1,230.75 / $2,013.96	Professional		$1,040.40	$1,230.75	$2,013.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $890.96 / $1,421.35 / $1,555.07	Facility		$890.96	$1,421.35	$1,555.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $771.68 / $1,401.97 / $5,478.00	Facility		$771.68	$1,401.97	$5,478.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,084.16 / $1,443.37 / $1,903.42	Professional		$1,084.16	$1,443.37	$1,903.42
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 $1,181.48 / $1,493.55 / $2,030.16	Professional		$1,181.48	$1,493.55	$2,030.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $977.40 / $1,427.40 / $2,067.54	Professional		$977.40	$1,427.40	$2,067.54