Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.32 / $4,897.35 / $8,728.00	Facility		$867.32	$4,897.35	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.71 / $489.17 / $4,897.35	Professional		$195.71	$489.17	$4,897.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.95 / $1,157.16 / $8,882.48	Professional		$381.95	$1,157.16	$8,882.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.33 / $3,538.41 / $9,386.10	Professional		$912.33	$3,538.41	$9,386.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.70 / $489.70 / $5,739.48	Facility		$283.70	$489.70	$5,739.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $802.91 / $7,722.21	Professional		$289.14	$802.91	$7,722.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.56 / $2,325.88 / $7,775.35	Facility		$279.56	$2,325.88	$7,775.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.42 / $515.95 / $6,518.13	Facility		$285.42	$515.95	$6,518.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.03 / $1,112.21 / $7,018.70	Professional		$396.03	$1,112.21	$7,018.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,832.95 / $35,824.41 / $50,994.29	Facility		$18,832.95	$35,824.41	$50,994.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $697.18 / $1,345.77 / $8,752.11	Professional		$697.18	$1,345.77	$8,752.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.60 / $3,794.99 / $8,006.18	Professional		$353.60	$3,794.99	$8,006.18