Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.26 / $7,920.26 / $20,400.00	Facility		$947.26	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.03 / $675.24 / $1,950.00	Professional		$378.03	$675.24	$1,950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.06 / $869.74 / $1,529.61	Professional		$511.06	$869.74	$1,529.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.45 / $1,004.72 / $1,412.01	Professional		$619.45	$1,004.72	$1,412.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $528.66 / $894.67 / $1,401.61	Facility		$528.66	$894.67	$1,401.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $685.29 / $960.15 / $1,364.00	Professional		$685.29	$960.15	$1,364.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $697.68 / $1,093.84 / $1,220.74	Facility		$697.68	$1,093.84	$1,220.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $1,033.77 / $6,123.60	Facility		$561.60	$1,033.77	$6,123.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.96 / $1,045.80 / $1,453.60	Professional		$745.96	$1,045.80	$1,453.60
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 $776.79 / $1,118.74 / $1,591.63	Professional		$776.79	$1,118.74	$1,591.63
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 $719.39 / $1,132.56 / $1,688.47	Professional		$719.39	$1,132.56	$1,688.47