Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,380.38 / $13,803.84	Facility		$851.14	$1,380.38	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,380.38	Professional		$457.09	$660.69	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,513.56	Professional		$512.86	$851.14	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,479.11	Professional		$602.56	$891.25	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,412.54	Facility		$478.63	$812.83	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,380.38	Professional		$645.65	$954.99	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,230.27	Facility		$812.83	$1,122.02	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $812.83 / $1,412.54	Facility		$457.09	$812.83	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $912.01 / $1,412.54	Professional		$79.43	$912.01	$1,412.54
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 $812.83 / $1,096.48 / $1,548.82	Professional		$812.83	$1,096.48	$1,548.82
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 $588.84 / $933.25 / $1,513.56	Professional		$588.84	$933.25	$1,513.56