Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.58 / $2,747.00 / $7,920.26	Facility		$322.58	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $398.88 / $777.83	Professional		$139.37	$398.88	$777.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $435.21 / $1,071.85	Professional		$222.33	$435.21	$1,071.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $385.82 / $950.61	Professional		$305.61	$385.82	$950.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.24 / $428.37 / $1,024.22	Facility		$199.24	$428.37	$1,024.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.34 / $467.89 / $926.73	Professional		$245.34	$467.89	$926.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.87 / $733.85 / $815.39	Facility		$291.87	$733.85	$815.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.24 / $585.04 / $998.83	Facility		$199.24	$585.04	$998.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $523.38 / $1,035.96	Professional		$274.95	$523.38	$1,035.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,646.79	Facility		$4,846.16	$6,142.31	$7,646.79
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,269.24 / $9,213.46 / $11,470.19	Facility	50	$7,269.24	$9,213.46	$11,470.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $473.40 / $1,102.89	Professional		$279.02	$473.40	$1,102.89
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 $570.05 / $809.90 / $1,205.91	Professional		$570.05	$809.90	$1,205.91