Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.44 / $4,962.67 / $11,200.82	Facility		$393.44	$4,962.67	$11,200.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $336.50 / $1,070.70	Professional		$199.38	$336.50	$1,070.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.08 / $526.91 / $833.01	Professional		$317.08	$526.91	$833.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.45 / $519.69 / $738.76	Professional		$379.45	$519.69	$738.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.17 / $462.65 / $765.85	Facility		$273.17	$462.65	$765.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $519.09 / $916.50	Professional		$325.56	$519.09	$916.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.17 / $565.76 / $632.95	Facility		$369.17	$565.76	$632.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.17 / $587.32 / $3,601.00	Facility		$273.17	$587.32	$3,601.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.66 / $586.73 / $870.49	Professional		$382.66	$586.73	$870.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,803.22 / $7,686.17 / $9,631.59	Facility	50	$5,803.22	$7,686.17	$9,631.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $394.91 / $577.98 / $889.70	Professional		$394.91	$577.98	$889.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.88 / $677.17 / $999.00	Professional		$464.88	$677.17	$999.00