Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.58 / $2,911.92 / $11,348.00	Facility		$756.58	$2,911.92	$11,348.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $551.32 / $2,542.19	Professional		$300.18	$551.32	$2,542.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.89 / $921.73 / $1,465.20	Professional		$524.89	$921.73	$1,465.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.64 / $1,032.56 / $1,323.91	Professional		$822.64	$1,032.56	$1,323.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $513.84 / $783.32 / $1,202.10	Facility		$513.84	$783.32	$1,202.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $866.76 / $1,260.44	Professional		$631.04	$866.76	$1,260.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $621.49 / $1,004.65 / $1,087.41	Facility		$621.49	$1,004.65	$1,087.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.84 / $784.53 / $1,464.30	Facility		$513.84	$784.53	$1,464.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.17 / $999.18 / $1,395.68	Professional		$705.17	$999.18	$1,395.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,573.67 / $14,457.65 / $18,175.73	Facility	50	$11,573.67	$14,457.65	$18,175.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $706.06 / $1,035.83 / $1,490.77	Professional		$706.06	$1,035.83	$1,490.77
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 $712.09 / $1,069.58 / $1,657.61	Professional		$712.09	$1,069.58	$1,657.61