Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $6,606.93	Facility		$1,202.26	$1,819.70	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,584.89	Professional		$524.81	$741.31	$1,584.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional	50	$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,737.80	Professional		$691.83	$1,047.13	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $1,698.24	Professional		$741.31	$1,258.93	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,659.59	Facility		$676.08	$977.24	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,621.81	Professional		$851.14	$1,122.02	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,380.38	Facility		$933.25	$1,288.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,548.82	Facility		$602.56	$954.99	$1,548.82
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	54	$691.83	$691.83	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,698.24	Professional		$79.43	$1,148.15	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,801.89	Facility		$2,290.87	$3,162.28	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,778.28	Professional		$1,148.15	$1,445.44	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $7,413.10	Facility		$1,698.24	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,778.28	Professional		$776.25	$1,174.90	$1,778.28