Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.58 / $8,878.56 / $13,986.59	Facility		$1,974.58	$8,878.56	$13,986.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.51 / $959.53 / $2,840.77	Professional		$667.51	$959.53	$2,840.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.48 / $1,515.31 / $2,374.13	Professional		$908.48	$1,515.31	$2,374.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $898.61 / $1,872.43 / $2,080.46	Professional		$898.61	$1,872.43	$2,080.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $929.53 / $1,448.72 / $2,641.66	Facility		$929.53	$1,448.72	$2,641.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,404.00 / $1,501.76 / $2,673.69	Professional		$1,404.00	$1,501.76	$2,673.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,237.41 / $1,704.48 / $1,873.32	Facility		$1,237.41	$1,704.48	$1,873.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,054.93 / $2,082.17 / $7,339.00	Facility		$1,054.93	$2,082.17	$7,339.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $333.15 / $333.15 / $333.15	Facility	80	$333.15	$333.15	$333.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $99.13 / $283.18 / $283.18	Facility	AS	$99.13	$283.18	$283.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,379.16 / $1,710.15 / $2,364.04	Professional		$1,379.16	$1,710.15	$2,364.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,678.59 / $12,937.69 / $16,102.64	Facility		$10,678.59	$12,937.69	$16,102.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,617.53 / $1,743.77 / $2,439.69	Professional		$1,617.53	$1,743.77	$2,439.69
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 $1,159.49 / $1,653.60 / $2,395.17	Professional		$1,159.49	$1,653.60	$2,395.17