Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.14 / $2,747.00 / $11,158.00	Facility		$1,023.14	$2,747.00	$11,158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.83 / $754.43 / $2,546.42	Professional		$483.83	$754.43	$2,546.42
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 $677.58 / $1,184.98 / $1,864.75	Professional		$677.58	$1,184.98	$1,864.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.63 / $1,227.56 / $1,679.36	Professional		$975.63	$1,227.56	$1,679.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $646.95 / $1,051.28 / $1,660.97	Facility		$646.95	$1,051.28	$1,660.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.04 / $1,137.38 / $1,537.13	Professional		$776.04	$1,137.38	$1,537.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.12 / $1,271.49 / $1,445.86	Facility		$831.12	$1,271.49	$1,445.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $646.95 / $1,091.22 / $2,027.99	Facility		$646.95	$1,091.22	$2,027.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $261.33 / $261.33 / $261.33	Facility	80	$261.33	$261.33	$261.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $222.13 / $222.13 / $222.13	Facility	AS	$222.13	$222.13	$222.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $865.21 / $1,271.77 / $1,794.63	Professional		$865.21	$1,271.77	$1,794.63
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 $873.12 / $1,302.81 / $1,951.77	Professional		$873.12	$1,302.81	$1,951.77
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 $1,009.68 / $1,474.90 / $2,128.17	Professional		$1,009.68	$1,474.90	$2,128.17