Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $191.12 / $744.80	Professional		$117.70	$191.12	$744.80
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 $461.13 / $556.79 / $606.02	Professional		$461.13	$556.79	$606.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.55 / $200.68 / $410.91	Facility		$121.55	$200.68	$410.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.49 / $6,167.67 / $8,589.56	Facility		$207.49	$6,167.67	$8,589.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.55 / $239.38 / $410.91	Facility		$121.55	$239.38	$410.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $240.17 / $476.35	Professional		$137.80	$240.17	$476.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $307.57 / $538.17 / $608.16	Professional		$307.57	$538.17	$608.16
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 $273.36 / $414.51 / $851.32	Professional		$273.36	$414.51	$851.32