Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.10 / $4,684.68 / $8,728.00	Facility		$807.10	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.14 / $480.17 / $1,287.63	Professional		$316.14	$480.17	$1,287.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.14 / $703.25 / $1,059.73	Professional		$412.14	$703.25	$1,059.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.00 / $818.75 / $982.27	Professional		$699.00	$818.75	$982.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.51 / $640.79 / $901.00	Facility		$448.51	$640.79	$901.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $543.84 / $645.30 / $995.63	Professional		$543.84	$645.30	$995.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $492.45 / $693.45 / $757.10	Facility		$492.45	$693.45	$757.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.27 / $711.75 / $2,450.00	Facility		$471.27	$711.75	$2,450.00
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $537.01 / $537.01 / $537.01	Facility	62	$537.01	$537.01	$537.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $137.47 / $137.47 / $137.47	Facility	80	$137.47	$137.47	$137.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $116.85 / $116.85 / $116.85	Facility	AS	$116.85	$116.85	$116.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $609.04 / $738.00 / $1,015.87	Professional		$609.04	$738.00	$1,015.87
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 $670.72 / $881.97 / $1,172.38	Professional		$670.72	$881.97	$1,172.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.15 / $729.68 / $1,116.15	Professional		$507.15	$729.68	$1,116.15