Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.70 / $7,920.26 / $32,689.00	Facility		$430.70	$7,920.26	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $492.23 / $1,026.98	Professional		$183.79	$492.23	$1,026.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	50	$482.32	$482.32	$482.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.01 / $687.95 / $1,278.11	Professional		$322.01	$687.95	$1,278.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.38 / $509.39 / $1,153.99	Professional		$408.38	$509.39	$1,153.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.44 / $564.25 / $1,269.90	Facility		$262.44	$564.25	$1,269.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $333.97 / $625.96 / $1,219.21	Professional		$333.97	$625.96	$1,219.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $391.28 / $917.82 / $993.61	Facility		$391.28	$917.82	$993.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.56 / $711.90 / $1,269.90	Facility		$275.56	$711.90	$1,269.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.94 / $671.65 / $1,278.11	Professional		$368.94	$671.65	$1,278.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,435.12 / $7,646.79	Facility		$4,846.16	$6,435.12	$7,646.79
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,269.24 / $9,652.68 / $11,470.19	Facility	50	$7,269.24	$9,652.68	$11,470.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $372.26 / $662.52 / $1,306.13	Professional		$372.26	$662.52	$1,306.13
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 $601.91 / $1,032.22 / $1,568.44	Professional		$601.91	$1,032.22	$1,568.44