Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.04 / $2,907.81 / $12,640.00	Facility		$1,280.04	$2,907.81	$12,640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.59 / $855.67 / $3,322.96	Professional		$558.59	$855.67	$3,322.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.16 / $1,377.61 / $2,093.14	Professional		$828.16	$1,377.61	$2,093.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.09 / $1,477.82 / $1,889.85	Professional		$1,206.09	$1,477.82	$1,889.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.33 / $1,227.99 / $1,857.74	Facility		$808.33	$1,227.99	$1,857.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $974.98 / $1,314.51 / $1,856.68	Professional		$974.98	$1,314.51	$1,856.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $942.29 / $1,438.29 / $1,581.68	Facility		$942.29	$1,438.29	$1,581.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $818.72 / $1,274.65 / $2,278.83	Facility		$818.72	$1,274.65	$2,278.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $298.83 / $298.83 / $298.83	Facility	80	$298.83	$298.83	$298.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $254.02 / $254.02 / $254.02	Facility	AS	$254.02	$254.02	$254.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,081.58 / $1,483.06 / $2,061.57	Professional		$1,081.58	$1,483.06	$2,061.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,091.20 / $1,518.88 / $2,205.69	Professional		$1,091.20	$1,518.88	$2,205.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.50 / $1,586.31 / $2,419.07	Professional		$1,149.50	$1,586.31	$2,419.07