Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.97 / $10,155.68 / $15,321.31	Facility		$1,119.97	$10,155.68	$15,321.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.49 / $915.70 / $3,497.20	Professional		$586.49	$915.70	$3,497.20
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 $677.07 / $1,166.83 / $1,667.80	Professional		$677.07	$1,166.83	$1,667.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.52 / $1,243.39 / $1,491.71	Professional		$1,061.52	$1,243.39	$1,491.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $793.97 / $1,110.60 / $1,425.74	Facility		$793.97	$1,110.60	$1,425.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $921.20 / $1,037.44 / $1,507.41	Professional		$921.20	$1,037.44	$1,507.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $783.44 / $1,083.39 / $1,147.98	Facility		$783.44	$1,083.39	$1,147.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $793.97 / $1,182.54 / $5,949.00	Facility		$793.97	$1,182.54	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $182.71 / $182.71 / $182.71	Facility	AS	$182.71	$182.71	$182.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,024.29 / $1,184.04 / $1,567.10	Professional		$1,024.29	$1,184.04	$1,567.10
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 Facility Modifier 50 Low / Median / High Price $11,573.67 / $15,257.31 / $18,175.73	Facility	50	$11,573.67	$15,257.31	$18,175.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,043.08 / $1,336.22 / $1,795.89	Professional		$1,043.08	$1,336.22	$1,795.89
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 $815.91 / $1,133.30 / $1,787.59	Professional		$815.91	$1,133.30	$1,787.59