Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.19 / $7,617.10 / $20,400.00	Facility		$1,266.19	$7,617.10	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $813.64 / $2,754.62	Professional		$488.01	$813.64	$2,754.62
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 $772.42 / $1,346.43 / $2,388.56	Professional		$772.42	$1,346.43	$2,388.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.75 / $1,380.44 / $2,156.59	Professional		$1,088.75	$1,380.44	$2,156.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $723.82 / $1,246.66 / $1,901.24	Facility		$723.82	$1,246.66	$1,901.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $858.98 / $1,249.28 / $1,999.94	Professional		$858.98	$1,249.28	$1,999.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $993.61 / $1,500.81 / $1,776.84	Facility		$993.61	$1,500.81	$1,776.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $723.82 / $1,311.84 / $2,261.94	Facility		$723.82	$1,311.84	$2,261.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $338.93 / $338.93 / $338.93	Facility	80	$338.93	$338.93	$338.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $288.08 / $288.08 / $288.08	Facility	AS	$288.08	$288.08	$288.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $960.16 / $1,395.40 / $2,308.25	Professional		$960.16	$1,395.40	$2,308.25
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 $981.05 / $1,621.22 / $2,497.61	Professional		$981.05	$1,621.22	$2,497.61
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 $1,174.20 / $1,727.89 / $2,778.36	Professional		$1,174.20	$1,727.89	$2,778.36