Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.89 / $3,213.00 / $7,920.26	Facility		$217.89	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $504.38 / $1,887.51	Professional		$105.76	$504.38	$1,887.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.01 / $525.45 / $1,637.69	Professional		$174.01	$525.45	$1,637.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.27 / $543.89 / $1,436.09	Professional		$186.27	$543.89	$1,436.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.91 / $543.89 / $1,425.37	Facility		$128.91	$543.89	$1,425.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $776.62 / $1,813.18	Professional		$156.91	$776.62	$1,813.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $191.99 / $986.06 / $1,216.72	Facility		$191.99	$986.06	$1,216.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.91 / $855.31 / $1,560.03	Facility		$128.91	$855.31	$1,560.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.69 / $694.93 / $1,644.72	Professional		$189.69	$694.93	$1,644.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,957.35 / $6,006.10 / $7,624.85	Facility		$4,957.35	$6,006.10	$7,624.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,436.03 / $9,009.15 / $11,437.28	Facility	50	$7,436.03	$9,009.15	$11,437.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.04 / $336.44 / $1,723.50	Professional		$189.04	$336.44	$1,723.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.54 / $1,057.99 / $1,935.24	Professional		$817.54	$1,057.99	$1,935.24