Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $57.96 / $57.96	Professional		$8.00	$57.96	$57.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $34.19 / $40.96	Professional		$34.19	$34.19	$40.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $191.68 / $236.49	Professional		$156.34	$191.68	$236.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $60.86 / $124.61	Facility		$45.65	$60.86	$124.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $58.50 / $68.81	Facility		$41.29	$58.50	$68.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $68.81 / $124.61	Facility		$45.65	$68.81	$124.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $86.33 / $182.48	Professional		$64.75	$86.33	$182.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.04 / $356.93 / $478.20	Facility		$174.04	$356.93	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $179.67 / $227.64	Professional		$108.30	$179.67	$227.64
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $44.88 / $241.64	Professional		$29.15	$44.88	$241.64