Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.31 / $2,747.00 / $7,920.26	Facility		$780.31	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.18 / $466.09 / $1,022.02	Professional		$344.18	$466.09	$1,022.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.09 / $690.57 / $1,153.35	Professional		$420.09	$690.57	$1,153.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.76 / $858.24 / $1,029.68	Professional		$447.76	$858.24	$1,029.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.58 / $691.82 / $1,110.72	Facility		$423.58	$691.82	$1,110.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $621.24 / $720.94 / $1,169.09	Professional		$621.24	$720.94	$1,169.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $559.79 / $817.87 / $885.07	Facility		$559.79	$817.87	$885.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.74 / $837.31 / $3,065.00	Facility		$477.74	$837.31	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.72 / $828.96 / $1,111.80	Professional		$622.72	$828.96	$1,111.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.28 / $846.80 / $1,158.82	Professional		$707.28	$846.80	$1,158.82
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 $559.79 / $816.41 / $1,182.53	Professional		$559.79	$816.41	$1,182.53