Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.89 / $955.28 / $13,320.00	Facility		$570.89	$955.28	$13,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,585.21 / $14,585.21 / $14,585.21	Facility	50	$14,585.21	$14,585.21	$14,585.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $412.36 / $1,012.49	Professional		$273.88	$412.36	$1,012.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,127.68 / $2,257.21 / $2,348.40	Professional	50	$1,127.68	$2,257.21	$2,348.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.93 / $736.19 / $1,050.83	Professional		$434.93	$736.19	$1,050.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.51 / $726.19 / $926.35	Professional		$551.51	$726.19	$926.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.36 / $695.54 / $1,088.51	Facility		$412.36	$695.54	$1,088.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.73 / $633.94 / $1,051.80	Professional		$462.73	$633.94	$1,051.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $428.93 / $701.64 / $775.86	Facility		$428.93	$701.64	$775.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.36 / $718.05 / $992.82	Facility		$412.36	$718.05	$992.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.24 / $749.16 / $1,046.73	Professional		$541.24	$749.16	$1,046.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,786.71 / $5,069.89 / $6,839.08	Facility		$3,786.71	$5,069.89	$6,839.08
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,680.07 / $7,604.85 / $10,258.62	Facility	50	$5,680.07	$7,604.85	$10,258.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $558.71 / $759.44 / $1,096.26	Professional		$558.71	$759.44	$1,096.26
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 $569.75 / $829.65 / $1,230.92	Professional		$569.75	$829.65	$1,230.92