Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.95 / $1,386.02 / $7,920.26	Facility		$778.95	$1,386.02	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $546.94 / $1,439.65	Professional		$347.68	$546.94	$1,439.65
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 $534.96 / $962.83 / $1,546.68	Professional		$534.96	$962.83	$1,546.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.59 / $1,035.44 / $1,396.47	Professional		$820.59	$1,035.44	$1,396.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $540.65 / $836.46 / $1,273.39	Facility		$540.65	$836.46	$1,273.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $912.66 / $1,299.85	Professional		$631.04	$912.66	$1,299.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.49 / $1,054.60 / $1,151.73	Facility		$660.49	$1,054.60	$1,151.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.42 / $836.46 / $1,550.38	Facility		$541.42	$836.46	$1,550.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $216.62 / $216.62 / $216.62	Facility	80	$216.62	$216.62	$216.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $184.12 / $184.12 / $184.12	Facility	AS	$184.12	$184.12	$184.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.50 / $1,044.36 / $1,478.34	Professional		$709.50	$1,044.36	$1,478.34
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 $709.75 / $1,073.99 / $1,591.96	Professional		$709.75	$1,073.99	$1,591.96
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 $794.02 / $1,150.09 / $1,789.68	Professional		$794.02	$1,150.09	$1,789.68