Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.99 / $7,920.26 / $20,400.00	Facility		$947.99	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.78 / $674.79 / $1,641.54	Professional		$459.78	$674.79	$1,641.54
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 $512.03 / $869.62 / $1,530.81	Professional		$512.03	$869.62	$1,530.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.94 / $1,005.05 / $1,413.07	Professional		$619.94	$1,005.05	$1,413.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $528.80 / $916.31 / $1,401.61	Facility		$528.80	$916.31	$1,401.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.06 / $955.26 / $1,362.28	Professional		$706.06	$955.26	$1,362.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $732.85 / $1,109.65 / $1,221.41	Facility		$732.85	$1,109.65	$1,221.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.35 / $1,036.67 / $6,123.60	Facility		$571.35	$1,036.67	$6,123.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.34 / $1,050.21 / $1,452.80	Professional		$767.34	$1,050.21	$1,452.80
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 $777.39 / $1,119.35 / $1,592.50	Professional		$777.39	$1,119.35	$1,592.50
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 $756.85 / $1,115.40 / $1,615.62	Professional		$756.85	$1,115.40	$1,615.62