Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $7,943.28	Facility		$1,096.48	$1,513.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,380.38	Professional		$446.68	$549.54	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $1,737.80	Professional		$645.65	$1,202.26	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,412.54	Professional		$812.83	$1,071.52	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $1,905.46	Facility		$549.54	$851.14	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,479.11	Professional		$758.58	$891.25	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,122.02	Facility		$691.83	$954.99	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,202.26	Facility		$512.86	$776.25	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,479.11	Professional		$79.43	$1,023.29	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $17,782.79 / $21,379.62	Facility	50	$12,882.50	$17,782.79	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,513.56	Professional		$1,023.29	$1,202.26	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,445.44	Professional		$616.60	$977.24	$1,445.44