Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.39 / $4,704.00 / $8,728.00	Facility		$821.39	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.22 / $402.83 / $1,169.33	Professional		$343.22	$402.83	$1,169.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.01 / $778.33 / $1,109.25	Professional		$509.01	$778.33	$1,109.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.13 / $833.78 / $949.15	Professional		$592.13	$833.78	$949.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.58 / $716.63 / $1,077.45	Facility		$361.58	$716.63	$1,077.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $604.16 / $798.23 / $1,201.00	Professional		$604.16	$798.23	$1,201.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $527.34 / $721.31 / $783.90	Facility		$527.34	$721.31	$783.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.58 / $781.53 / $1,077.45	Facility		$361.58	$781.53	$1,077.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $671.13 / $885.59 / $1,157.72	Professional		$671.13	$885.59	$1,157.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $19,432.23 / $26,344.61 / $30,857.90	Facility	50	$19,432.23	$26,344.61	$30,857.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.30 / $909.43 / $1,197.96	Professional		$691.30	$909.43	$1,197.96
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 $583.45 / $856.29 / $1,195.82	Professional		$583.45	$856.29	$1,195.82