Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.93 / $5,649.00 / $15,341.00	Facility		$1,055.93	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $570.40 / $1,499.52	Professional		$403.66	$570.40	$1,499.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.23 / $1,042.05 / $1,387.55	Professional		$586.23	$1,042.05	$1,387.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.63 / $1,085.15 / $1,242.23	Professional		$754.63	$1,085.15	$1,242.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $519.92 / $918.65 / $1,542.80	Facility		$519.92	$918.65	$1,542.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $672.64 / $787.40 / $1,486.40	Professional		$672.64	$787.40	$1,486.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.66 / $820.75 / $945.37	Facility		$578.66	$820.75	$945.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $717.58 / $1,069.30 / $3,274.00	Facility		$717.58	$1,069.30	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $755.15 / $1,099.80 / $1,387.55	Professional		$755.15	$1,099.80	$1,387.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,074.10 / $13,818.32 / $18,079.02	Facility	50	$11,074.10	$13,818.32	$18,079.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $873.34 / $1,157.73 / $1,480.14	Professional		$873.34	$1,157.73	$1,480.14
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 $660.40 / $937.08 / $1,510.74	Professional		$660.40	$937.08	$1,510.74