Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.02 / $1,697.34 / $7,920.26	Facility		$967.02	$1,697.34	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.65 / $777.42 / $1,902.35	Professional		$528.65	$777.42	$1,902.35
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 $730.48 / $1,218.21 / $1,897.24	Professional		$730.48	$1,218.21	$1,897.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.91 / $1,294.81 / $1,707.96	Professional		$1,029.91	$1,294.81	$1,707.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $680.43 / $1,086.88 / $1,773.83	Facility		$680.43	$1,086.88	$1,773.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $813.74 / $1,184.40 / $1,576.60	Professional		$813.74	$1,184.40	$1,576.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $906.36 / $1,329.65 / $1,505.07	Facility		$906.36	$1,329.65	$1,505.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $680.43 / $1,124.57 / $2,172.38	Facility		$680.43	$1,124.57	$2,172.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $263.51 / $263.51 / $263.51	Facility	80	$263.51	$263.51	$263.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $223.99 / $223.99 / $223.99	Facility	AS	$223.99	$223.99	$223.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $906.57 / $1,302.39 / $1,829.64	Professional		$906.57	$1,302.39	$1,829.64
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 $917.66 / $1,339.47 / $1,968.64	Professional		$917.66	$1,339.47	$1,968.64
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 $1,044.50 / $1,510.01 / $2,201.21	Professional		$1,044.50	$1,510.01	$2,201.21