Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,684.68 / $8,728.00	Facility		$988.00	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.18 / $732.22 / $2,539.00	Professional		$484.18	$732.22	$2,539.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.27 / $1,024.80 / $1,546.39	Professional		$622.27	$1,024.80	$1,546.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.83 / $1,143.02 / $1,371.29	Professional		$975.83	$1,143.02	$1,371.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.22 / $1,012.39 / $1,435.61	Facility		$732.22	$1,012.39	$1,435.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $848.08 / $931.86 / $1,480.29	Professional		$848.08	$931.86	$1,480.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $726.75 / $987.58 / $1,057.26	Facility		$726.75	$987.58	$1,057.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.22 / $1,078.06 / $1,435.61	Facility		$732.22	$1,078.06	$1,435.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $168.84 / $168.84 / $168.84	Facility	AS	$168.84	$168.84	$168.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $928.80 / $1,066.92 / $1,449.08	Professional		$928.80	$1,066.92	$1,449.08
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 $964.98 / $1,231.63 / $1,655.32	Professional		$964.98	$1,231.63	$1,655.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.95 / $1,031.80 / $1,617.59	Professional		$697.95	$1,031.80	$1,617.59