Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.15 / $4,109.99 / $10,677.88	Facility		$1,179.15	$4,109.99	$10,677.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.87 / $796.57 / $5,522.35	Professional		$365.87	$796.57	$5,522.35
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 $737.73 / $1,171.84 / $1,774.02	Professional		$737.73	$1,171.84	$1,774.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.33 / $1,307.58 / $1,568.74	Professional		$1,116.33	$1,307.58	$1,568.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $836.78 / $1,124.01 / $1,513.85	Facility		$836.78	$1,124.01	$1,513.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $965.12 / $1,061.76 / $1,586.90	Professional		$965.12	$1,061.76	$1,586.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $860.96 / $1,172.21 / $1,212.70	Facility		$860.96	$1,172.21	$1,212.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $836.78 / $1,196.59 / $5,217.00	Facility		$836.78	$1,196.59	$5,217.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $226.64 / $226.64 / $226.64	Facility	80	$226.64	$226.64	$226.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $192.64 / $192.64 / $192.64	Facility	AS	$192.64	$192.64	$192.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,078.44 / $1,246.46 / $1,674.46	Professional		$1,078.44	$1,246.46	$1,674.46
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 $1,099.67 / $1,408.02 / $1,892.40	Professional		$1,099.67	$1,408.02	$1,892.40
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 $886.90 / $1,276.05 / $1,870.81	Professional		$886.90	$1,276.05	$1,870.81