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 $288.20 / $403.03 / $472.23	Professional		$288.20	$403.03	$472.23
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 $456.07 / $583.32 / $654.20	Professional		$456.07	$583.32	$654.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.88 / $495.84 / $1,015.29	Facility		$387.88	$495.84	$1,015.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $333.26 / $511.01 / $555.42	Facility		$333.26	$511.01	$555.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.51 / $472.23 / $932.20	Facility		$367.51	$472.23	$932.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.90 / $568.01 / $1,290.94	Professional		$535.90	$568.01	$1,290.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $448.36 / $527.66 / $780.78	Professional		$448.36	$527.66	$780.78
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.69 / $733.46 / $1,041.03	Professional		$508.69	$733.46	$1,041.03