Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.08 / $8,369.76 / $18,007.27	Facility		$1,397.08	$8,369.76	$18,007.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.39 / $855.85 / $2,779.00	Professional		$626.39	$855.85	$2,779.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.43 / $1,410.34 / $1,906.77	Professional		$876.43	$1,410.34	$1,906.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,007.06 / $1,427.24 / $1,624.73	Professional		$1,007.06	$1,427.24	$1,624.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $855.85 / $1,267.46 / $1,968.75	Facility		$855.85	$1,267.46	$1,968.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.20 / $1,346.01 / $2,059.35	Professional		$954.20	$1,346.01	$2,059.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.60 / $1,226.78 / $1,360.10	Facility		$933.60	$1,226.78	$1,360.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $855.85 / $1,626.90 / $7,455.00	Facility		$855.85	$1,626.90	$7,455.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.15 / $250.15 / $250.15	Facility	80	$250.15	$250.15	$250.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $212.63 / $212.63 / $212.63	Facility	AS	$212.63	$212.63	$212.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,129.80 / $1,518.66 / $1,993.05	Professional		$1,129.80	$1,518.66	$1,993.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,190.70 / $1,566.42 / $2,063.39	Professional		$1,190.70	$1,566.42	$2,063.39
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 $1,004.12 / $1,420.99 / $2,059.71	Professional		$1,004.12	$1,420.99	$2,059.71