Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $5,623.41 / $13,182.57	Facility		$316.23	$5,623.41	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $8,317.64 / $12,022.64	Facility	50	$1,862.09	$8,317.64	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $489.78	Professional		$83.18	$173.78	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $363.08 / $977.24	Professional	50	$154.88	$363.08	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $501.19	Professional		$190.55	$346.74	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $407.38	Professional		$234.42	$302.00	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $316.23 / $7,943.28	Facility		$199.53	$316.23	$7,943.28
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $7,413.10 / $12,022.64	Facility	50	$1,862.09	$7,413.10	$12,022.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $426.58	Professional		$218.78	$281.84	$426.58
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $398.11 / $977.24	Professional	50	$154.88	$398.11	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $309.03 / $323.59	Facility		$251.19	$309.03	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $234.42 / $398.11	Facility		$169.82	$234.42	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $309.03 / $436.52	Professional		$79.43	$309.03	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $6,025.60	Facility		$3,715.35	$4,786.30	$6,025.60
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $7,244.36 / $8,912.51	Facility	50	$5,623.41	$7,244.36	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $436.52	Professional		$295.12	$346.74	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $436.52	Professional		$199.53	$316.23	$436.52