Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,019.95 / $7,943.28	Facility		$234.42	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,479.11 / $2,884.03	Professional		$112.20	$1,479.11	$2,884.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional	50	$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,202.26 / $3,801.89	Professional		$181.97	$1,202.26	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $3,235.94	Professional		$194.98	$295.12	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,862.09 / $6,606.93	Facility		$154.88	$1,862.09	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,479.11 / $3,630.78	Professional		$173.78	$1,479.11	$3,630.78
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional	50	$2,691.53	$2,691.53	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $2,884.03	Facility		$1,698.24	$2,398.83	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,412.54 / $3,388.44	Facility		$144.54	$1,412.54	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $323.59 / $3,548.13	Professional		$79.43	$323.59	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,413.10	Facility		$4,570.88	$5,888.44	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $3,311.31	Professional		$223.87	$398.11	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,659.59 / $3,801.89	Professional		$186.21	$1,659.59	$3,801.89