Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $8,709.64	Facility		$776.25	$1,096.48	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,096.48	Professional		$346.74	$478.63	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,096.48	Professional		$467.74	$660.69	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,071.52	Professional		$478.63	$812.83	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,071.52	Facility		$436.52	$630.96	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,047.13	Professional		$549.54	$724.44	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $831.76 / $891.25	Facility		$616.60	$831.76	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $1,023.29	Facility		$407.38	$616.60	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,096.48	Professional		$79.43	$758.58	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $10,964.78 / $13,182.57	Facility	50	$8,128.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,148.15	Professional		$741.31	$912.01	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,148.15	Professional		$501.19	$758.58	$1,148.15