Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $7,943.28	Facility		$524.81	$1,445.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $602.56 / $1,348.96	Professional		$269.15	$602.56	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,621.81	Professional		$354.81	$724.44	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,445.44	Professional		$436.52	$660.69	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $724.44 / $2,041.74	Facility		$338.84	$724.44	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,548.82	Professional		$398.11	$812.83	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,202.26	Facility		$707.95	$1,071.52	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $724.44 / $1,445.44	Facility		$316.23	$724.44	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $660.69 / $1,513.56	Professional		$79.43	$660.69	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $16,595.87 / $19,952.62	Facility	50	$12,882.50	$16,595.87	$19,952.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,548.82	Professional		$501.19	$870.96	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $758.58 / $1,548.82	Professional		$407.38	$758.58	$1,548.82