Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.89 / $7,920.26 / $29,472.35	Facility		$1,597.89	$7,920.26	$29,472.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $734.33 / $1,938.59	Professional		$530.01	$734.33	$1,938.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.89 / $1,532.19 / $2,186.05	Professional		$998.89	$1,532.19	$2,186.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,154.96 / $1,638.07 / $1,864.73	Professional		$1,154.96	$1,638.07	$1,864.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $976.52 / $1,258.76 / $2,099.52	Facility		$976.52	$1,258.76	$2,099.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.32 / $1,362.14 / $2,360.65	Professional		$1,064.32	$1,362.14	$2,360.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $911.91 / $1,338.28 / $1,500.76	Facility		$911.91	$1,338.28	$1,500.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $976.52 / $1,784.27 / $8,061.00	Facility		$976.52	$1,784.27	$8,061.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $285.48 / $285.48 / $285.48	Facility	80	$285.48	$285.48	$285.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $242.66 / $242.66 / $242.66	Facility	AS	$242.66	$242.66	$242.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,175.76 / $1,730.10 / $2,280.42	Professional		$1,175.76	$1,730.10	$2,280.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,361.07 / $1,790.54 / $2,358.62	Professional		$1,361.07	$1,790.54	$2,358.62
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 $1,142.44 / $1,546.28 / $2,354.40	Professional		$1,142.44	$1,546.28	$2,354.40