Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.44 / $4,962.67 / $15,341.00	Facility		$397.44	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.79 / $585.16 / $1,440.56	Professional		$204.79	$585.16	$1,440.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $599.01 / $1,441.94	Professional		$306.14	$599.01	$1,441.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.21 / $500.91 / $1,267.16	Professional		$343.21	$500.91	$1,267.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.29 / $568.22 / $1,431.40	Facility		$264.29	$568.22	$1,431.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $289.81 / $812.00 / $1,618.44	Professional		$289.81	$812.00	$1,618.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.52 / $936.17 / $1,062.61	Facility		$311.52	$936.17	$1,062.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.29 / $841.02 / $1,431.40	Facility		$264.29	$841.02	$1,431.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.86 / $674.22 / $1,442.65	Professional		$343.86	$674.22	$1,442.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,277.96 / $11,391.42 / $14,018.87	Facility		$8,277.96	$11,391.42	$14,018.87
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,416.96 / $17,087.13 / $21,028.31	Facility	50	$12,416.96	$17,087.13	$21,028.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $347.65 / $618.73 / $1,508.42	Professional		$347.65	$618.73	$1,508.42
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 $782.28 / $1,063.36 / $1,693.71	Professional		$782.28	$1,063.36	$1,693.71