Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $215.20 / $234.16	Professional		$168.73	$215.20	$234.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $276.33 / $564.61	Professional		$222.65	$276.33	$564.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $234.16 / $561.10	Facility		$30.98	$234.16	$561.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $2,253.63 / $92,699.07	Professional		$17.75	$2,253.63	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $14.52 / $2,626.43	Facility		$8.44	$14.52	$2,626.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $234.16 / $561.10	Facility		$30.98	$234.16	$561.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $27.46 / $452.07	Professional		$16.89	$27.46	$452.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $933.97 / $8,786.79 / $11,309.50	Facility		$933.97	$8,786.79	$11,309.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.74 / $443.39 / $631.41	Professional		$296.74	$443.39	$631.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.24 / $537.20 / $816.55	Professional		$389.24	$537.20	$816.55