Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.95 / $1,329.50 / $7,920.26	Facility		$852.95	$1,329.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $675.46 / $2,653.29	Professional		$447.56	$675.46	$2,653.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.84 / $972.27 / $1,476.43	Professional		$576.84	$972.27	$1,476.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.24 / $1,130.73 / $1,356.55	Professional		$964.24	$1,130.73	$1,356.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $652.15 / $900.00 / $1,213.80	Facility		$652.15	$900.00	$1,213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $889.70 / $1,354.56	Professional		$758.37	$889.70	$1,354.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $693.32 / $955.22 / $1,036.49	Facility		$693.32	$955.22	$1,036.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $662.45 / $994.62 / $2,919.00	Facility		$662.45	$994.62	$2,919.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $191.82 / $191.82 / $191.82	Facility	80	$191.82	$191.82	$191.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $163.05 / $163.05 / $163.05	Facility	AS	$163.05	$163.05	$163.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.04 / $1,029.69 / $1,413.49	Professional		$852.04	$1,029.69	$1,413.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $926.85 / $1,207.43 / $1,606.16	Professional		$926.85	$1,207.43	$1,606.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $8,090.00 / $12,786.00	Facility		$1,981.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.60 / $1,001.19 / $1,561.25	Professional		$674.60	$1,001.19	$1,561.25