Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.81 / $7,920.26 / $21,735.00	Facility		$373.81	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $2,805.78 / $6,887.37	Professional		$165.90	$2,805.78	$6,887.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.04 / $2,241.33 / $7,373.38	Professional		$287.04	$2,241.33	$7,373.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.17 / $2,271.80 / $6,038.45	Professional		$322.17	$2,271.80	$6,038.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.66 / $2,271.80 / $7,544.91	Facility		$247.66	$2,271.80	$7,544.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.66 / $3,460.92 / $7,567.88	Professional		$271.66	$3,460.92	$7,567.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.30 / $4,344.71 / $5,406.00	Facility		$278.30	$4,344.71	$5,406.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.66 / $4,527.39 / $7,105.15	Facility		$247.66	$4,527.39	$7,105.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.72 / $3,286.87 / $7,337.54	Professional		$325.72	$3,286.87	$7,337.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,335.54 / $18,246.18 / $23,193.18	Facility		$14,335.54	$18,246.18	$23,193.18
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $21,503.31 / $24,323.78 / $37,811.22	Facility	50	$21,503.31	$24,323.78	$37,811.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $326.94 / $581.86 / $7,345.97	Professional		$326.94	$581.86	$7,345.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,635.81 / $6,507.95 / $8,393.45	Professional		$4,635.81	$6,507.95	$8,393.45