Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,346.73 / $12,274.80 / $20,400.00	Facility		$2,346.73	$12,274.80	$20,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,760.06 / $1,949.71 / $2,183.81	Facility	54	$1,760.06	$1,949.71	$2,183.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,356.20 / $3,059.52	Professional		$992.21	$1,356.20	$3,059.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,814.00 / $1,814.00 / $1,814.00	Facility		$1,814.00	$1,814.00	$1,814.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.14 / $1,987.39 / $3,128.25	Professional		$1,195.14	$1,987.39	$3,128.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,184.05 / $2,473.15 / $2,747.95	Professional		$1,184.05	$2,473.15	$2,747.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,184.05 / $2,014.51 / $3,165.55	Facility		$1,184.05	$2,014.51	$3,165.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.33 / $1,984.05 / $3,520.53	Professional		$1,776.33	$1,984.05	$3,520.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,594.46 / $2,240.48 / $2,345.67	Facility		$1,594.46	$2,240.48	$2,345.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,311.10 / $2,444.38 / $2,971.60	Facility		$1,311.10	$2,444.38	$2,971.60
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $913.68 / $2,188.02 / $2,188.02	Facility	54	$913.68	$2,188.02	$2,188.02
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $437.60 / $437.60 / $437.60	Facility	80	$437.60	$437.60	$437.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,810.52 / $2,244.38 / $3,105.25	Professional		$1,810.52	$2,244.38	$3,105.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $16,115.95	Facility		$10,762.34	$13,653.30	$16,115.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,129.85 / $2,295.96 / $3,206.90	Professional		$2,129.85	$2,295.96	$3,206.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,510.65 / $2,173.60 / $3,148.38	Professional		$1,510.65	$2,173.60	$3,148.38