Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,193.66 / $3,649.43 / $13,320.00	Facility		$2,193.66	$3,649.43	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.21 / $1,380.82 / $3,458.01	Professional		$1,113.21	$1,380.82	$3,458.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.39 / $2,790.30 / $4,273.62	Professional		$1,653.39	$2,790.30	$4,273.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,382.77 / $2,945.97 / $3,540.01	Professional		$2,382.77	$2,945.97	$3,540.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,755.77 / $2,285.10 / $3,703.33	Facility		$1,755.77	$2,285.10	$3,703.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,202.26 / $2,565.96 / $3,854.37	Professional		$2,202.26	$2,565.96	$3,854.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,958.52 / $2,751.52 / $3,015.67	Facility		$1,958.52	$2,751.52	$3,015.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,780.82 / $2,953.82 / $5,852.00	Facility		$1,780.82	$2,953.82	$5,852.00
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,233.84 / $2,233.84 / $2,233.84	Facility	62	$2,233.84	$2,233.84	$2,233.84
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $571.86 / $571.86 / $571.86	Facility	80	$571.86	$571.86	$571.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $486.08 / $486.08 / $486.08	Facility	AS	$486.08	$486.08	$486.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,347.38 / $2,888.31 / $4,143.81	Professional		$2,347.38	$2,888.31	$4,143.81
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 $2,754.11 / $3,251.75 / $4,772.64	Professional		$2,754.11	$3,251.75	$4,772.64
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 $2,124.65 / $2,834.65 / $4,465.67	Professional		$2,124.65	$2,834.65	$4,465.67