Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $232.95 / $273.13	Professional		$186.93	$232.95	$273.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.81 / $336.09 / $376.98	Professional		$262.81	$336.09	$376.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $224.28 / $286.79 / $587.23	Facility		$224.28	$286.79	$587.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.71 / $294.47 / $353.76	Facility		$209.71	$294.47	$353.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.24 / $273.13 / $587.23	Facility		$212.24	$273.13	$587.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.39 / $327.22 / $743.68	Professional		$309.39	$327.22	$743.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $304.25 / $481.28	Professional		$286.45	$304.25	$481.28
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 $328.32 / $444.59 / $601.92	Professional		$328.32	$444.59	$601.92