Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.87 / $5,272.37 / $20,400.00	Facility		$724.87	$5,272.37	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $542.92 / $1,310.63	Professional		$277.58	$542.92	$1,310.63
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 $389.41 / $692.02 / $1,233.53	Professional		$389.41	$692.02	$1,233.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.71 / $774.17 / $1,130.47	Professional		$497.71	$774.17	$1,130.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $393.60 / $691.97 / $1,080.18	Facility		$393.60	$691.97	$1,080.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $509.35 / $699.66 / $1,093.08	Professional		$509.35	$699.66	$1,093.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.90 / $868.53 / $980.21	Facility		$543.90	$868.53	$980.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.13 / $788.45 / $5,478.00	Facility		$430.13	$788.45	$5,478.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $559.86 / $800.80 / $1,164.80	Professional		$559.86	$800.80	$1,164.80
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 $594.74 / $896.71 / $1,275.75	Professional		$594.74	$896.71	$1,275.75
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 $514.64 / $887.24 / $1,285.14	Professional		$514.64	$887.24	$1,285.14