Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,884.03 / $12,882.50	Facility		$758.58	$2,884.03	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $2,041.74	Professional		$338.84	$602.56	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,412.54	Professional		$457.09	$812.83	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,348.96	Professional		$707.95	$954.99	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $741.31 / $2,398.83	Facility		$426.58	$741.31	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,258.93	Professional		$562.34	$851.14	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,096.48	Facility		$691.83	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $1,122.02	Facility		$416.87	$676.08	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,348.96	Professional		$79.43	$851.14	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,481.54 / $15,135.61 / $18,620.87	Facility	50	$11,481.54	$15,135.61	$18,620.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,348.96	Professional		$676.08	$977.24	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,318.26	Professional		$512.86	$851.14	$1,318.26