Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.19 / $1,344.26 / $13,320.00	Facility		$676.19	$1,344.26	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $657.02 / $1,366.23	Professional		$433.23	$657.02	$1,366.23
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 $654.66 / $1,129.02 / $1,778.65	Professional		$654.66	$1,129.02	$1,778.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $983.26 / $1,239.33 / $1,605.91	Professional		$983.26	$1,239.33	$1,605.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $657.02 / $975.30 / $1,490.94	Facility		$657.02	$975.30	$1,490.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $772.56 / $1,054.08 / $1,512.93	Professional		$772.56	$1,054.08	$1,512.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $764.60 / $1,216.08 / $1,328.61	Facility		$764.60	$1,216.08	$1,328.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.29 / $1,011.90 / $1,818.80	Facility		$657.29	$1,011.90	$1,818.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.79 / $250.79 / $250.79	Facility	80	$250.79	$250.79	$250.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $213.17 / $213.17 / $213.17	Facility	AS	$213.17	$213.17	$213.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $866.25 / $1,229.76 / $1,715.30	Professional		$866.25	$1,229.76	$1,715.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $872.96 / $1,275.38 / $1,843.08	Professional		$872.96	$1,275.38	$1,843.08
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 $939.02 / $1,331.39 / $2,179.81	Professional		$939.02	$1,331.39	$2,179.81