Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.38 / $8,679.86 / $20,502.56	Facility		$2,056.38	$8,679.86	$20,502.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.35 / $1,628.24 / $8,159.82	Professional		$989.35	$1,628.24	$8,159.82
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 $1,257.25 / $2,078.35 / $3,124.67	Professional		$1,257.25	$2,078.35	$3,124.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,981.32 / $2,322.42 / $2,784.26	Professional		$1,981.32	$2,322.42	$2,784.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,496.94 / $1,969.26 / $2,952.66	Facility		$1,496.94	$1,969.26	$2,952.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,697.43 / $1,890.52 / $2,835.78	Professional		$1,697.43	$1,890.52	$2,835.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,470.94 / $2,034.12 / $2,161.42	Facility		$1,470.94	$2,034.12	$2,161.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,496.94 / $2,140.62 / $7,090.00	Facility		$1,496.94	$2,140.62	$7,090.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $407.41 / $407.41 / $407.41	Facility	80	$407.41	$407.41	$407.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $346.30 / $346.30 / $346.30	Facility	AS	$346.30	$346.30	$346.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,878.36 / $2,163.64 / $2,962.44	Professional		$1,878.36	$2,163.64	$2,962.44
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 $1,971.17 / $2,517.89 / $3,384.07	Professional		$1,971.17	$2,517.89	$3,384.07
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 $1,483.68 / $2,194.62 / $3,320.36	Professional		$1,483.68	$2,194.62	$3,320.36