Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.20 / $7,920.26 / $20,400.00	Facility		$812.20	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.74 / $555.42 / $1,243.75	Professional		$320.74	$555.42	$1,243.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.29 / $691.63 / $1,170.58	Professional		$437.29	$691.63	$1,170.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.59 / $861.22 / $1,089.31	Professional		$476.59	$861.22	$1,089.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.44 / $738.71 / $1,104.73	Facility		$440.44	$738.71	$1,104.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $586.55 / $740.80 / $1,166.01	Professional		$586.55	$740.80	$1,166.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.35 / $861.08 / $937.33	Facility		$586.35	$861.08	$937.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.16 / $811.82 / $5,478.00	Facility		$470.16	$811.82	$5,478.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $623.20 / $853.12 / $1,126.99	Professional		$623.20	$853.12	$1,126.99
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 $666.07 / $899.89 / $1,216.25	Professional		$666.07	$899.89	$1,216.25
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 $582.75 / $855.96 / $1,233.34	Professional		$582.75	$855.96	$1,233.34