Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.36 / $5,579.00 / $18,461.78	Facility		$1,336.36	$5,579.00	$18,461.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $879.23 / $3,198.45	Professional		$549.97	$879.23	$3,198.45
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 $874.96 / $1,557.82 / $2,760.43	Professional		$874.96	$1,557.82	$2,760.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,259.15 / $1,598.29 / $2,469.46	Professional		$1,259.15	$1,598.29	$2,469.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $849.90 / $1,403.46 / $2,111.84	Facility		$849.90	$1,403.46	$2,111.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $973.24 / $1,413.70 / $2,294.12	Professional		$973.24	$1,413.70	$2,294.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,138.58 / $1,724.25 / $2,087.25	Facility		$1,138.58	$1,724.25	$2,087.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $849.90 / $1,454.16 / $2,632.65	Facility		$849.90	$1,454.16	$2,632.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $395.98 / $395.98 / $395.98	Facility	80	$395.98	$395.98	$395.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $336.58 / $336.58 / $336.58	Facility	AS	$336.58	$336.58	$336.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,121.40 / $1,630.90 / $2,669.16	Professional		$1,121.40	$1,630.90	$2,669.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,146.15 / $1,886.91 / $2,906.93	Professional		$1,146.15	$1,886.91	$2,906.93
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 $1,337.42 / $2,028.75 / $3,178.45	Professional		$1,337.42	$2,028.75	$3,178.45