Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $5,116.62 / $11,528.40	Facility		$3,213.00	$5,116.62	$11,528.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $225.67 / $640.00	Professional		$128.07	$225.67	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $267.12 / $320.04	Professional		$267.12	$267.12	$320.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.41 / $526.64 / $584.91	Professional		$457.41	$526.64	$584.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $236.95 / $485.19	Facility		$119.08	$236.95	$485.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.38 / $1,361.67 / $1,941.94	Facility		$230.38	$1,361.67	$1,941.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $241.52 / $485.19	Facility		$119.08	$241.52	$485.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $443.57 / $453.45	Professional		$204.26	$443.57	$453.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,565.08 / $14,391.80	Facility		$4,846.16	$6,565.08	$14,391.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $334.65 / $534.63 / $658.66	Professional		$334.65	$534.63	$658.66
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 $311.12 / $441.13 / $657.48	Professional		$311.12	$441.13	$657.48