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 $79.20 / $153.13 / $153.13	Professional		$79.20	$153.13	$153.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $29.81 / $35.72	Professional		$29.81	$29.81	$35.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.01 / $987.29 / $2,125.19	Professional		$791.01	$987.29	$2,125.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $153.13 / $329.25	Facility		$83.28	$153.13	$329.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.70 / $441.60 / $606.74	Facility		$114.70	$441.60	$606.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $153.13 / $329.25	Facility		$83.28	$153.13	$329.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $156.35 / $302.04	Professional		$96.22	$156.35	$302.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,136.85 / $2,705.43	Facility		$1,568.64	$2,136.85	$2,705.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.85 / $361.95 / $1,672.54	Professional		$206.85	$361.95	$1,672.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $322.27 / $481.82	Professional		$225.60	$322.27	$481.82