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 $192.80 / $221.78 / $299.20	Professional		$192.80	$221.78	$299.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.29 / $642.05 / $730.95	Professional		$484.29	$642.05	$730.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $314.17 / $643.29	Facility		$299.20	$314.17	$643.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,325.71 / $2,325.71 / $2,325.71	Professional		$2,325.71	$2,325.71	$2,325.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $391.62 / $3,239.96 / $4,507.97	Facility		$391.62	$3,239.96	$4,507.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $308.19 / $684.75	Facility		$299.20	$308.19	$684.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.43 / $352.43 / $465.79	Professional		$352.43	$352.43	$465.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.43 / $14,215.14 / $17,324.30	Facility		$10,762.43	$14,215.14	$17,324.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $452.15 / $658.06 / $791.16	Professional		$452.15	$658.06	$791.16
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 $420.66 / $605.84 / $840.08	Professional		$420.66	$605.84	$840.08