Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.02 / $7,074.00 / $20,400.00	Facility		$931.02	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.37 / $2,273.27 / $7,963.67	Professional		$434.37	$2,273.27	$7,963.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.26 / $2,573.69 / $7,468.29	Professional		$684.26	$2,573.69	$7,468.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $790.63 / $1,161.61 / $6,470.19	Professional		$790.63	$1,161.61	$6,470.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.07 / $2,453.14 / $9,701.87	Facility		$570.07	$2,453.14	$9,701.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.42 / $4,134.17 / $8,218.24	Professional		$687.42	$4,134.17	$8,218.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.64 / $5,249.99 / $7,499.98	Facility		$865.64	$5,249.99	$7,499.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.07 / $4,594.63 / $9,701.87	Facility		$570.07	$4,594.63	$9,701.87
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,102.61 / $1,102.61 / $1,102.61	Facility	80	$1,102.61	$1,102.61	$1,102.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.60 / $3,887.65 / $8,532.52	Professional		$825.60	$3,887.65	$8,532.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $41,892.06 / $54,410.37 / $65,354.61	Facility	50	$41,892.06	$54,410.37	$65,354.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $832.56 / $1,481.73 / $7,849.09	Professional		$832.56	$1,481.73	$7,849.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,985.76 / $7,153.25 / $9,166.25	Professional		$4,985.76	$7,153.25	$9,166.25