Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.68 / $7,074.00 / $20,400.00	Facility		$316.68	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $1,561.09 / $4,480.01	Professional		$155.49	$1,561.09	$4,480.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.27 / $1,461.51 / $4,804.79	Professional		$244.27	$1,461.51	$4,804.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.54 / $1,483.99 / $3,939.23	Professional		$272.54	$1,483.99	$3,939.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.04 / $1,651.38 / $6,367.20	Facility		$211.04	$1,651.38	$6,367.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $2,488.17 / $4,946.21	Professional		$237.56	$2,488.17	$4,946.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $3,073.83 / $4,031.50	Facility		$308.20	$3,073.83	$4,031.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.04 / $2,961.49 / $6,367.20	Facility		$211.04	$2,961.49	$6,367.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.06 / $2,138.00 / $4,781.43	Professional		$276.06	$2,138.00	$4,781.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,797.14 / $30,050.66 / $38,432.64	Facility	50	$22,797.14	$30,050.66	$38,432.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $493.14 / $4,772.56	Professional		$277.08	$493.14	$4,772.56
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 $2,921.59 / $4,242.77 / $5,358.86	Professional		$2,921.59	$4,242.77	$5,358.86