Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $13,803.84	Facility		$389.05	$1,071.52	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $467.74 / $1,071.52	Professional		$190.55	$467.74	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	50	$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $1,348.96	Professional		$323.59	$660.69	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $1,230.27	Professional		$363.08	$512.86	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $660.69 / $10,232.93	Facility		$263.03	$660.69	$10,232.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $630.96 / $1,230.27	Professional		$309.03	$630.96	$1,230.27
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	50	$478.63	$478.63	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $954.99	Facility		$616.60	$912.01	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $501.19 / $1,202.26	Facility		$245.47	$501.19	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $1,288.25	Professional		$295.12	$575.44	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,762.47	Facility		$4,897.79	$6,165.95	$7,762.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,244.36 / $9,120.11 / $11,481.54	Facility	50	$7,244.36	$9,120.11	$11,481.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,174.90	Professional		$363.08	$660.69	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $1,230.27	Professional		$309.03	$588.84	$1,230.27