Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.70 / $3,213.00 / $7,920.26	Facility		$651.70	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.88 / $427.38 / $944.47	Professional		$289.88	$427.38	$944.47
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 $380.81 / $640.39 / $943.47	Professional		$380.81	$640.39	$943.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.10 / $721.65 / $865.78	Professional		$616.10	$721.65	$865.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.14 / $598.24 / $781.15	Facility		$443.14	$598.24	$781.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $517.20 / $570.16 / $868.10	Professional		$517.20	$570.16	$868.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.80 / $613.72 / $659.28	Facility		$443.80	$613.72	$659.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.14 / $639.22 / $2,450.00	Facility		$443.14	$639.22	$2,450.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $123.08 / $123.08 / $123.08	Facility	80	$123.08	$123.08	$123.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $104.62 / $104.62 / $104.62	Facility	AS	$104.62	$104.62	$104.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.94 / $652.80 / $897.20	Professional		$566.94	$652.80	$897.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $597.20 / $768.01 / $1,032.22	Professional		$597.20	$768.01	$1,032.22
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 $464.11 / $637.00 / $998.60	Professional		$464.11	$637.00	$998.60