Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.26 / $7,074.00 / $15,583.73	Facility		$590.26	$7,074.00	$15,583.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $1,250.00 / $5,137.35	Professional		$336.18	$1,250.00	$5,137.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.14 / $1,014.96 / $3,118.30	Professional		$471.14	$1,014.96	$3,118.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.15 / $737.78 / $2,530.67	Professional		$502.15	$737.78	$2,530.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.29 / $983.91 / $3,895.78	Facility		$361.29	$983.91	$3,895.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $461.91 / $1,633.17 / $3,294.85	Professional		$461.91	$1,633.17	$3,294.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $636.60 / $2,124.57 / $3,094.94	Facility		$636.60	$2,124.57	$3,094.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.29 / $2,319.71 / $9,999.15	Facility		$361.29	$2,319.71	$9,999.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.32 / $1,512.11 / $3,344.41	Professional		$520.32	$1,512.11	$3,344.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,716.70 / $15,269.16 / $17,898.62	Facility	50	$11,716.70	$15,269.16	$17,898.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $526.34 / $936.74 / $3,076.53	Professional		$526.34	$936.74	$3,076.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,063.30 / $2,764.49 / $3,604.18	Professional		$2,063.30	$2,764.49	$3,604.18