Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,202.26 / $13,182.57	Facility		$645.65	$1,202.26	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,047.13	Professional		$323.59	$501.19	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $1,202.26	Professional		$389.05	$691.83	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,174.90	Professional		$489.78	$707.95	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,122.02	Facility		$371.54	$630.96	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,122.02	Professional		$478.63	$724.44	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $977.24	Facility		$602.56	$891.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $588.84 / $1,047.13	Facility		$338.84	$588.84	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $691.83 / $1,148.15	Professional		$79.43	$691.83	$1,148.15
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 $630.96 / $870.96 / $1,258.93	Professional		$630.96	$870.96	$1,258.93
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 $426.58 / $724.44 / $1,230.27	Professional		$426.58	$724.44	$1,230.27