Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,754.23 / $7,943.28	Facility		$549.54	$2,754.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,202.26 / $2,187.76	Professional		$275.42	$1,202.26	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,288.25 / $3,311.31	Professional		$389.05	$1,288.25	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $3,090.30	Professional		$478.63	$707.95	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,202.26 / $2,818.38	Facility		$309.03	$1,202.26	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,412.54 / $3,090.30	Professional		$446.68	$1,412.54	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,511.89	Facility		$1,659.59	$2,344.23	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,202.26 / $2,818.38	Facility		$316.23	$1,202.26	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $831.76 / $3,311.31	Professional		$338.84	$831.76	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,882.50	Facility		$7,762.47	$10,232.93	$12,882.50
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,748.98 / $15,135.61 / $19,054.61	Facility	50	$11,748.98	$15,135.61	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,513.56 / $3,019.95	Professional		$537.03	$1,513.56	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,174.90 / $3,162.28	Professional		$363.08	$1,174.90	$3,162.28