Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $8,912.51	Facility		$870.96	$1,348.96	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $1,202.26	Professional		$389.05	$537.03	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,445.44	Professional		$549.54	$1,023.29	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,318.26	Professional		$602.56	$912.01	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,819.70	Facility		$524.81	$831.76	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,380.38	Professional		$630.96	$851.14	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,071.52	Facility		$724.44	$1,000.00	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $1,174.90	Facility		$457.09	$724.44	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $954.99 / $1,348.96	Professional		$79.43	$954.99	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $17,782.79 / $21,379.62	Facility	50	$12,882.50	$17,782.79	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,412.54	Professional		$812.83	$1,023.29	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,982.44	Facility		$1,995.26	$10,232.93	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,380.38	Professional		$562.34	$933.25	$1,380.38