Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.06 / $4,921.92 / $13,320.00	Facility		$829.06	$4,921.92	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.56 / $675.78 / $3,185.10	Professional		$388.56	$675.78	$3,185.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.27 / $1,028.58 / $1,616.23	Professional		$583.27	$1,028.58	$1,616.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $876.92 / $1,104.71 / $1,459.26	Professional		$876.92	$1,104.71	$1,459.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $418.10 / $887.41 / $1,395.16	Facility		$418.10	$887.41	$1,395.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $689.40 / $964.80 / $1,369.77	Professional		$689.40	$964.80	$1,369.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $705.51 / $1,102.15 / $1,222.64	Facility		$705.51	$1,102.15	$1,222.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.82 / $923.09 / $1,705.88	Facility		$460.82	$923.09	$1,705.88
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $231.01 / $231.01 / $231.01	Facility	80	$231.01	$231.01	$231.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $196.36 / $196.36 / $196.36	Facility	AS	$196.36	$196.36	$196.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.65 / $1,126.64 / $1,572.09	Professional		$782.65	$1,126.64	$1,572.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $777.60 / $1,163.27 / $1,705.34	Professional		$777.60	$1,163.27	$1,705.34
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 $809.15 / $1,213.72 / $1,896.92	Professional		$809.15	$1,213.72	$1,896.92