Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.78 / $7,074.00 / $20,400.00	Facility		$1,147.78	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.21 / $607.08 / $1,568.04	Professional		$506.21	$607.08	$1,568.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.27 / $1,255.03 / $1,959.99	Professional		$838.27	$1,255.03	$1,959.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.71 / $1,346.04 / $1,632.01	Professional		$1,088.71	$1,346.04	$1,632.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $793.19 / $1,007.81 / $1,877.12	Facility		$793.19	$1,007.81	$1,877.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.04 / $1,158.17 / $2,043.39	Professional		$1,085.04	$1,158.17	$2,043.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $922.43 / $1,276.34 / $1,360.77	Facility		$922.43	$1,276.34	$1,360.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $820.99 / $1,391.75 / $6,437.00	Facility		$820.99	$1,391.75	$6,437.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $216.12 / $216.12 / $216.12	Facility	AS	$216.12	$216.12	$216.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,073.05 / $1,301.48 / $1,854.90	Professional		$1,073.05	$1,301.48	$1,854.90
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 $1,236.21 / $1,422.08 / $2,142.26	Professional		$1,236.21	$1,422.08	$2,142.26
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 $895.35 / $1,295.41 / $1,969.01	Professional		$895.35	$1,295.41	$1,969.01