Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.35 / $7,060.00 / $18,322.00	Facility		$774.35	$7,060.00	$18,322.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.73 / $1,790.64 / $3,656.88	Professional		$381.73	$1,790.64	$3,656.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.93 / $1,242.75 / $4,575.47	Professional		$664.93	$1,242.75	$4,575.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.73 / $1,054.51 / $3,981.10	Professional		$717.73	$1,054.51	$3,981.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $514.76 / $1,516.82 / $5,392.17	Facility		$514.76	$1,516.82	$5,392.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $617.10 / $2,555.96 / $4,879.20	Professional		$617.10	$2,555.96	$4,879.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $768.49 / $3,182.88 / $3,932.23	Facility		$768.49	$3,182.88	$3,932.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.76 / $2,727.29 / $5,392.17	Facility		$514.76	$2,727.29	$5,392.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.52 / $2,419.02 / $5,103.81	Professional		$731.52	$2,419.02	$5,103.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,814.35 / $32,019.91 / $41,335.56	Facility		$15,814.35	$32,019.91	$41,335.56
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $23,721.53 / $48,029.87 / $62,003.34	Facility	50	$23,721.53	$48,029.87	$62,003.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $739.98 / $1,316.96 / $4,861.62	Professional		$739.98	$1,316.96	$4,861.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,917.65 / $4,159.85 / $5,458.86	Professional		$2,917.65	$4,159.85	$5,458.86