Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $7,920.26 / $20,400.00	Facility		$340.31	$7,920.26	$20,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,695.40 / $3,695.40 / $3,695.40	Facility	50	$3,695.40	$3,695.40	$3,695.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $174.81 / $486.76	Professional		$129.33	$174.81	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $335.46 / $451.37	Professional		$213.45	$335.46	$451.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.56 / $353.91 / $403.02	Professional		$245.56	$353.91	$403.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.98 / $321.44 / $470.81	Facility		$218.98	$321.44	$470.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.03 / $259.82 / $486.98	Professional		$231.03	$259.82	$486.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.96 / $282.07 / $307.52	Facility		$192.96	$282.07	$307.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.98 / $364.93 / $5,626.00	Facility		$218.98	$364.93	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $357.14 / $451.37	Professional		$262.02	$357.14	$451.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,074.10 / $13,818.32 / $18,079.02	Facility	50	$11,074.10	$13,818.32	$18,079.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.68 / $376.61 / $481.49	Professional		$281.68	$376.61	$481.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $12,180.28	Facility		$1,689.00	$5,517.00	$12,180.28
United Facility/Professional Professional Modifier Low / Median / High Price $218.92 / $343.54 / $487.26	Professional		$218.92	$343.54	$487.26