Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $11,377.08 / $17,866.62	Facility		$2,528.00	$11,377.08	$17,866.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.82 / $1,990.01 / $4,074.75	Professional		$1,412.82	$1,990.01	$4,074.75
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 $1,400.80 / $2,248.96 / $3,503.39	Professional		$1,400.80	$2,248.96	$3,503.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,326.04 / $2,770.71 / $3,078.57	Professional		$1,326.04	$2,770.71	$3,078.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,428.36 / $2,385.76 / $4,278.52	Facility		$1,428.36	$2,385.76	$4,278.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.91 / $2,444.16 / $3,964.80	Professional		$2,095.91	$2,444.16	$3,964.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,841.58 / $2,546.67 / $3,314.35	Facility		$1,841.58	$2,546.67	$3,314.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,559.00 / $2,836.92 / $4,109.13	Facility		$1,559.00	$2,836.92	$4,109.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $493.75 / $493.75 / $493.75	Facility	80	$493.75	$493.75	$493.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $146.63 / $419.69 / $419.69	Facility	AS	$146.63	$419.69	$419.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,091.54 / $2,573.80 / $3,535.77	Professional		$2,091.54	$2,573.80	$3,535.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $19,565.63	Facility		$10,762.34	$13,653.30	$19,565.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.62 / $2,579.26 / $3,629.82	Professional		$2,398.62	$2,579.26	$3,629.82
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 $1,797.74 / $2,628.68 / $3,831.90	Professional		$1,797.74	$2,628.68	$3,831.90