Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.02 / $3,925.18 / $12,519.79	Facility		$866.02	$3,925.18	$12,519.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $583.05 / $1,661.55	Professional		$387.00	$583.05	$1,661.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.40 / $1,011.77 / $1,437.57	Professional		$630.40	$1,011.77	$1,437.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.55 / $994.70 / $1,262.86	Professional		$794.55	$994.70	$1,262.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $587.19 / $972.84 / $1,270.75	Facility		$587.19	$972.84	$1,270.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.15 / $862.46 / $1,452.75	Professional		$675.15	$862.46	$1,452.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.02 / $968.68 / $1,065.97	Facility		$607.02	$968.68	$1,065.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.19 / $1,072.41 / $2,327.00	Facility		$587.19	$1,072.41	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.46 / $1,066.16 / $1,461.02	Professional		$782.46	$1,066.16	$1,461.02
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 $811.84 / $1,080.61 / $1,506.53	Professional		$811.84	$1,080.61	$1,506.53
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 $800.30 / $1,133.93 / $1,759.34	Professional		$800.30	$1,133.93	$1,759.34