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 $120.35 / $223.45 / $223.45	Professional		$120.35	$223.45	$223.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.91 / $331.91 / $397.67	Professional		$331.91	$331.91	$397.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.72 / $503.37 / $601.83	Professional		$408.72	$503.37	$601.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.64 / $234.62 / $480.42	Facility		$198.64	$234.62	$480.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.55 / $1,129.44 / $1,509.81	Facility		$123.55	$1,129.44	$1,509.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $245.80 / $480.42	Facility		$139.72	$245.80	$480.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.35 / $363.97 / $412.57	Professional		$237.35	$363.97	$412.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $334.43 / $4,313.10 / $5,709.03	Facility		$334.43	$4,313.10	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $476.71 / $609.47	Professional		$314.61	$476.71	$609.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.61 / $444.72 / $612.36	Professional		$295.61	$444.72	$612.36