Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $7,943.28	Facility		$1,202.26	$1,548.82	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,380.38	Professional		$524.81	$691.83	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional	50	$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,621.81	Professional		$676.08	$977.24	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,096.48 / $1,258.93	Professional		$537.03	$1,096.48	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,949.84	Facility		$630.96	$933.25	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,513.56	Professional		$794.33	$1,000.00	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,202.26	Facility		$851.14	$1,148.15	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,513.56	Facility		$602.56	$912.01	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,548.82	Professional		$79.43	$1,096.48	$1,548.82
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 $1,096.48 / $1,258.93 / $1,548.82	Professional		$1,096.48	$1,258.93	$1,548.82
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 $758.58 / $1,122.02 / $1,621.81	Professional		$758.58	$1,122.02	$1,621.81