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 $290.89 / $327.32 / $365.69	Professional		$290.89	$327.32	$365.69
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 $534.42 / $695.13 / $772.04	Professional		$534.42	$695.13	$772.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $310.83 / $383.97 / $786.23	Facility		$310.83	$383.97	$786.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $552.64 / $646.59 / $674.69	Facility		$552.64	$646.59	$674.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.69 / $376.98 / $716.55	Facility		$317.69	$376.98	$716.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.35 / $690.12 / $1,568.48	Professional		$430.35	$690.12	$1,568.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $544.75 / $640.96 / $915.26	Professional		$544.75	$640.96	$915.26
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 $439.13 / $592.48 / $924.67	Professional		$439.13	$592.48	$924.67