Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.82 / $2,747.00 / $19,304.88	Facility		$1,312.82	$2,747.00	$19,304.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.54 / $956.13 / $2,696.35	Professional		$600.54	$956.13	$2,696.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.22 / $1,571.31 / $2,730.47	Professional		$888.22	$1,571.31	$2,730.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,255.66 / $1,593.72 / $2,465.31	Professional		$1,255.66	$1,593.72	$2,465.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $825.74 / $1,481.29 / $2,166.30	Facility		$825.74	$1,481.29	$2,166.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $991.80 / $1,479.72 / $2,289.56	Professional		$991.80	$1,479.72	$2,289.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,117.56 / $1,714.53 / $2,034.79	Facility		$1,117.56	$1,714.53	$2,034.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.74 / $1,490.41 / $2,578.59	Facility		$825.74	$1,490.41	$2,578.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $383.90 / $383.90 / $383.90	Facility	80	$383.90	$383.90	$383.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $326.31 / $326.31 / $326.31	Facility	AS	$326.31	$326.31	$326.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,101.88 / $1,650.96 / $2,614.50	Professional		$1,101.88	$1,650.96	$2,614.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,141.36 / $1,848.17 / $2,827.87	Professional		$1,141.36	$1,848.17	$2,827.87
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 $1,338.61 / $1,949.70 / $3,138.15	Professional		$1,338.61	$1,949.70	$3,138.15