Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,548.82 / $7,943.28	Facility		$218.78	$1,548.82	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $512.86 / $1,258.93	Professional		$102.33	$512.86	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $457.09 / $1,659.59	Professional		$141.25	$457.09	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $562.34 / $1,412.54	Professional		$165.96	$562.34	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $724.44 / $4,677.35	Facility		$120.23	$724.44	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $501.19 / $1,479.11	Professional		$147.91	$501.19	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,174.90	Facility		$660.69	$1,071.52	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $575.44 / $1,230.27	Facility		$114.82	$575.44	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $1,513.56	Professional		$79.43	$269.15	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,413.10 / $9,549.93 / $11,481.54	Facility	50	$7,413.10	$9,549.93	$11,481.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $1,513.56	Professional		$186.21	$338.84	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $9,120.11	Facility		$1,096.48	$3,715.35	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $446.68 / $1,513.56	Professional		$151.36	$446.68	$1,513.56