Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.64 / $1,758.00 / $13,320.00	Facility		$974.64	$1,758.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.25 / $702.75 / $2,327.75	Professional		$462.25	$702.75	$2,327.75
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 $642.41 / $1,039.90 / $1,598.80	Professional		$642.41	$1,039.90	$1,598.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $928.21 / $1,129.83 / $1,443.54	Professional		$928.21	$1,129.83	$1,443.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.65 / $937.98 / $1,354.95	Facility		$606.65	$937.98	$1,354.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $734.86 / $1,003.40 / $1,422.77	Professional		$734.86	$1,003.40	$1,422.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $726.60 / $1,102.07 / $1,192.59	Facility		$726.60	$1,102.07	$1,192.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $617.74 / $975.27 / $1,655.90	Facility		$617.74	$975.27	$1,655.90
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $224.20 / $224.20 / $224.20	Facility	80	$224.20	$224.20	$224.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $190.57 / $190.57 / $190.57	Facility	AS	$190.57	$190.57	$190.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.25 / $1,125.76 / $1,539.70	Professional		$817.25	$1,125.76	$1,539.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $808.72 / $1,149.28 / $1,646.60	Professional		$808.72	$1,149.28	$1,646.60
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 $841.33 / $1,229.36 / $1,822.34	Professional		$841.33	$1,229.36	$1,822.34