Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.15 / $2,690.00 / $7,920.26	Facility		$441.15	$2,690.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.91 / $358.66 / $1,063.16	Professional		$229.91	$358.66	$1,063.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.61 / $649.69 / $922.39	Professional		$383.61	$649.69	$922.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.84 / $632.42 / $806.80	Professional		$484.84	$632.42	$806.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.66 / $597.71 / $814.24	Facility		$358.66	$597.71	$814.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.57 / $551.58 / $997.05	Professional		$412.57	$551.58	$997.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.14 / $612.66 / $680.05	Facility		$389.14	$612.66	$680.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.66 / $668.79 / $2,327.00	Facility		$358.66	$668.79	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.54 / $656.57 / $932.07	Professional		$477.54	$656.57	$932.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,808.64 / $16,697.40 / $21,403.95	Facility	50	$12,808.64	$16,697.40	$21,403.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $495.26 / $673.20 / $960.77	Professional		$495.26	$673.20	$960.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.13 / $721.24 / $1,068.77	Professional		$516.13	$721.24	$1,068.77