Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $7,943.28	Facility		$977.24	$1,949.84	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility	50	$7,943.28	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,584.89	Professional		$467.74	$724.44	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,288.25 / $2,041.74	Professional		$676.08	$1,288.25	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,819.70	Professional		$794.33	$1,258.93	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,737.80	Facility		$645.65	$1,023.29	$1,737.80
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility	50	$7,943.28	$7,943.28	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,698.24	Professional		$758.58	$1,122.02	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,513.56	Facility		$933.25	$1,318.26	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,659.59	Facility		$588.84	$1,000.00	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,905.46	Professional		$79.43	$1,202.26	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,964.78 / $15,135.61 / $18,197.01	Facility	50	$10,964.78	$15,135.61	$18,197.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,905.46	Professional		$954.99	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,905.46	Professional		$707.95	$1,202.26	$1,905.46