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 $215.20 / $291.33 / $428.51	Professional		$215.20	$291.33	$428.51
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 $566.67 / $660.04 / $792.72	Professional		$566.67	$660.04	$792.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.51 / $449.94 / $661.51	Facility		$428.51	$449.94	$661.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,253.63 / $2,310.78 / $2,310.78	Professional		$2,253.63	$2,310.78	$2,310.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $355.94 / $708.19 / $2,764.51	Facility		$355.94	$708.19	$2,764.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.51 / $430.43 / $921.30	Facility		$428.51	$430.43	$921.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $556.74 / $556.74 / $634.54	Professional		$556.74	$556.74	$634.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $571.82 / $757.61 / $1,000.56	Professional		$571.82	$757.61	$1,000.56
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 $395.00 / $561.96 / $911.86	Professional		$395.00	$561.96	$911.86