Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.42 / $2,747.00 / $13,746.00	Facility		$1,337.42	$2,747.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.33 / $815.14 / $1,415.19	Professional		$471.33	$815.14	$1,415.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $2,018.04 / $2,092.69	Professional	50	$707.01	$2,018.04	$2,092.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.21 / $1,059.22 / $1,865.47	Professional		$625.21	$1,059.22	$1,865.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.40 / $1,261.95 / $1,725.89	Professional		$757.40	$1,261.95	$1,725.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.53 / $1,060.80 / $1,749.64	Facility		$563.53	$1,060.80	$1,749.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $858.21 / $1,172.57 / $1,706.03	Professional		$858.21	$1,172.57	$1,706.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $839.38 / $1,338.17 / $1,488.07	Facility		$839.38	$1,338.17	$1,488.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.22 / $1,273.88 / $6,123.60	Facility		$672.22	$1,273.88	$6,123.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $924.80 / $1,298.43 / $1,765.70	Professional		$924.80	$1,298.43	$1,765.70
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 $976.05 / $1,388.63 / $1,935.50	Professional		$976.05	$1,388.63	$1,935.50
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 $950.82 / $1,357.20 / $1,965.85	Professional		$950.82	$1,357.20	$1,965.85