Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,551.87 / $2,720.00 / $11,915.00	Facility		$1,551.87	$2,720.00	$11,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.04 / $1,088.93 / $2,727.53	Professional		$740.04	$1,088.93	$2,727.53
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $61.79 / $640.75 / $920.60	Professional	AS	$61.79	$640.75	$920.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,274.42 / $1,876.07 / $2,980.55	Professional		$1,274.42	$1,876.07	$2,980.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,394.41 / $2,006.49 / $2,533.07	Professional		$1,394.41	$2,006.49	$2,533.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.48 / $1,533.42 / $2,587.57	Facility		$1,046.48	$1,533.42	$2,587.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.02 / $1,778.28 / $2,785.05	Professional		$1,401.02	$1,778.28	$2,785.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,440.30 / $2,002.58 / $2,550.83	Facility		$1,440.30	$2,002.58	$2,550.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,046.48 / $1,610.09 / $2,785.39	Facility		$1,046.48	$1,610.09	$2,785.39
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $412.42 / $412.42 / $412.42	Facility	80	$412.42	$412.42	$412.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $350.56 / $350.56 / $350.56	Facility	AS	$350.56	$350.56	$350.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,579.14 / $2,030.33 / $2,757.11	Professional		$1,579.14	$2,030.33	$2,757.11
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $270.70 / $277.22 / $414.73	Professional	AS	$270.70	$277.22	$414.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,673.53 / $2,184.41 / $3,075.59	Professional		$1,673.53	$2,184.41	$3,075.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,450.42 / $2,005.91 / $3,421.29	Professional		$1,450.42	$2,005.91	$3,421.29