Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.93 / $3,213.00 / $7,920.26	Facility		$276.93	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $511.37 / $1,268.01	Professional		$139.63	$511.37	$1,268.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.36 / $514.97 / $1,494.12	Professional		$222.36	$514.97	$1,494.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $519.45 / $1,239.10	Professional		$236.74	$519.45	$1,239.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.88 / $386.90 / $1,541.90	Facility		$165.88	$386.90	$1,541.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.72 / $396.81 / $1,339.29	Professional		$211.72	$396.81	$1,339.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.25 / $971.28 / $1,110.19	Facility		$251.25	$971.28	$1,110.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $978.79 / $1,751.30	Facility		$204.80	$978.79	$1,751.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $657.17 / $1,453.61	Professional		$242.40	$657.17	$1,453.61
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 $240.19 / $427.47 / $1,474.31	Professional		$240.19	$427.47	$1,474.31
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 $819.92 / $1,273.00 / $1,640.01	Professional		$819.92	$1,273.00	$1,640.01