Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,516.03 / $10,180.24 / $15,978.56	Facility		$2,516.03	$10,180.24	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.58 / $1,710.67 / $5,093.32	Professional		$1,220.58	$1,710.67	$5,093.32
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 $1,203.92 / $1,934.51 / $3,013.52	Professional		$1,203.92	$1,934.51	$3,013.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,140.61 / $2,383.19 / $2,648.00	Professional		$1,140.61	$2,383.19	$2,648.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,228.58 / $2,052.19 / $3,677.94	Facility		$1,228.58	$2,052.19	$3,677.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,802.89 / $2,102.40 / $3,407.70	Professional		$1,802.89	$2,102.40	$3,407.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,600.83 / $2,190.23 / $2,876.90	Facility		$1,600.83	$2,190.23	$2,876.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,341.03 / $2,440.23 / $3,565.62	Facility		$1,341.03	$2,440.23	$3,565.62
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $424.37 / $424.37 / $424.37	Facility	80	$424.37	$424.37	$424.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $126.05 / $360.71 / $360.71	Facility	AS	$126.05	$360.71	$360.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,780.98 / $2,196.50 / $3,013.99	Professional		$1,780.98	$2,196.50	$3,013.99
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 $2,061.58 / $2,217.26 / $3,119.63	Professional		$2,061.58	$2,217.26	$3,119.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $15,109.01 / $24,231.00	Facility		$2,912.00	$15,109.01	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,474.34 / $2,160.10 / $3,200.78	Professional		$1,474.34	$2,160.10	$3,200.78