Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.61 / $2,237.27 / $7,920.26	Facility		$437.61	$2,237.27	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,792.00 / $2,792.00 / $3,238.94	Facility	50	$2,792.00	$2,792.00	$3,238.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $368.72 / $869.87	Professional		$204.19	$368.72	$869.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $862.00	Professional	50	$114.04	$114.04	$862.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $514.98 / $947.73	Professional		$273.14	$514.98	$947.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.53 / $520.01 / $865.54	Professional		$362.53	$520.01	$865.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.39 / $506.18 / $904.55	Facility		$281.39	$506.18	$904.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $364.02 / $586.01 / $834.63	Professional		$364.02	$586.01	$834.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.85 / $685.08 / $864.30	Facility		$438.85	$685.08	$864.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.39 / $653.26 / $3,065.00	Facility		$316.39	$653.26	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $404.46 / $601.67 / $937.43	Professional		$404.46	$601.67	$937.43
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 $402.23 / $619.66 / $989.12	Professional		$402.23	$619.66	$989.12
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 $504.45 / $739.68 / $1,086.28	Professional		$504.45	$739.68	$1,086.28