Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.54 / $4,962.67 / $38,506.94	Facility		$718.54	$4,962.67	$38,506.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.98 / $487.08 / $913.01	Professional		$306.98	$487.08	$913.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.95 / $708.89 / $1,010.91	Professional		$437.95	$708.89	$1,010.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.66 / $733.23 / $876.42	Professional		$623.66	$733.23	$876.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.08 / $708.63 / $1,005.20	Facility		$487.08	$708.63	$1,005.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $555.90 / $658.20 / $933.04	Professional		$555.90	$658.20	$933.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $510.66 / $659.86 / $727.26	Facility		$510.66	$659.86	$727.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.08 / $759.10 / $2,402.00	Facility		$487.08	$759.10	$2,402.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $137.60 / $137.60 / $137.60	Facility	80	$137.60	$137.60	$137.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $116.96 / $116.96 / $116.96	Facility	AS	$116.96	$116.96	$116.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $637.94 / $732.65 / $1,001.62	Professional		$637.94	$732.65	$1,001.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80,087.00 / $100,320.86 / $122,981.33	Facility		$80,087.00	$100,320.86	$122,981.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $666.69 / $827.42 / $1,078.36	Professional		$666.69	$827.42	$1,078.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.17 / $725.90 / $1,118.30	Professional		$535.17	$725.90	$1,118.30