Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,981.07 / $7,943.28	Facility		$309.03	$3,981.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $977.24	Professional		$128.82	$398.11	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $512.86 / $1,479.11	Professional		$177.83	$512.86	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $489.78 / $1,230.27	Professional		$208.93	$489.78	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $758.58 / $5,495.41	Facility		$165.96	$758.58	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $1,148.15	Professional		$194.98	$338.84	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $977.24 / $1,071.52	Facility		$275.42	$977.24	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $316.23 / $1,230.27	Facility		$151.36	$316.23	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $1,348.96	Professional		$79.43	$331.13	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,754.40 / $7,762.47 / $9,772.37	Facility	50	$5,754.40	$7,762.47	$9,772.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $1,318.26	Professional		$239.88	$426.58	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $1,380.38	Professional		$194.98	$407.38	$1,380.38