Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.04 / $3,925.18 / $15,341.00	Facility		$571.04	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.62 / $664.44 / $1,380.75	Professional		$278.62	$664.44	$1,380.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.09 / $745.52 / $1,633.21	Professional		$451.09	$745.52	$1,633.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.52 / $722.16 / $1,415.34	Professional		$491.52	$722.16	$1,415.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $339.12 / $729.11 / $1,436.08	Facility		$339.12	$729.11	$1,436.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.84 / $828.63 / $1,832.27	Professional		$416.84	$828.63	$1,832.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $511.88 / $987.70 / $1,230.11	Facility		$511.88	$987.70	$1,230.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.52 / $1,069.90 / $2,416.38	Facility		$356.52	$1,069.90	$2,416.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.28 / $802.56 / $1,639.58	Professional		$497.28	$802.56	$1,639.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,762.09 / $16,428.33 / $19,575.74	Facility	50	$12,762.09	$16,428.33	$19,575.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $497.20 / $884.89 / $1,714.03	Professional		$497.20	$884.89	$1,714.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $879.48 / $1,160.60 / $1,924.59	Professional		$879.48	$1,160.60	$1,924.59