Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.37 / $420.02 / $1,000.00	Professional		$334.37	$420.02	$1,000.00
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 $711.52 / $828.77 / $994.21	Professional		$711.52	$828.77	$994.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.02 / $441.02 / $903.04	Facility		$420.02	$441.02	$903.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $466.32 / $636.61 / $777.20	Facility		$466.32	$636.61	$777.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.02 / $432.62 / $903.04	Facility		$420.02	$432.62	$903.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.68 / $494.68 / $795.76	Professional		$494.68	$494.68	$795.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $591.86 / $884.35 / $1,164.92	Professional		$591.86	$884.35	$1,164.92
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 $546.00 / $764.39 / $1,220.61	Professional		$546.00	$764.39	$1,220.61