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 $33.19 / $325.39 / $392.35	Professional		$33.19	$325.39	$392.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,310.00	Facility		$2,310.00	$2,310.00	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $100.00 / $120.36	Professional		$83.17	$100.00	$120.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $392.35 / $843.55	Facility		$83.08	$392.35	$843.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $89.87 / $107.87	Facility		$61.46	$89.87	$107.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.66 / $392.35 / $843.55	Facility		$88.66	$392.35	$843.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $95.35 / $772.90	Professional		$95.35	$95.35	$772.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $118.46 / $445.08	Professional		$86.64	$118.46	$445.08
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $622.19 / $907.79	Professional		$138.16	$622.19	$907.79