Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,137.96 / $7,943.28	Facility		$295.12	$2,137.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $870.96 / $1,905.46	Professional		$151.36	$870.96	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $691.83 / $2,754.23	Professional		$213.80	$691.83	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $891.25 / $2,238.72	Professional		$245.47	$891.25	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,318.26 / $6,025.60	Facility		$199.53	$1,318.26	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,000.00 / $2,344.23	Professional		$218.78	$1,000.00	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $1,949.84	Facility		$1,288.25	$1,778.28	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,000.00 / $2,290.87	Facility		$173.78	$1,000.00	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $407.38 / $2,511.89	Professional		$79.43	$407.38	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,495.41 / $6,606.93	Facility		$4,073.80	$5,495.41	$6,606.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $8,128.31 / $10,000.00	Facility	50	$6,025.60	$8,128.31	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $2,398.83	Professional		$281.84	$512.86	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,762.47	Facility		$1,698.24	$5,495.41	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $851.14 / $2,511.89	Professional		$223.87	$851.14	$2,511.89