Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $10,347.48 / $32,689.00	Facility		$2,747.00	$10,347.48	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.92 / $242.47 / $266.08	Professional		$211.92	$242.47	$266.08
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 $390.03 / $507.38 / $563.52	Professional		$390.03	$507.38	$563.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.17 / $364.53 / $572.07	Facility		$226.17	$364.53	$572.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.72 / $1,957.00 / $4,007.67	Facility		$344.72	$1,957.00	$4,007.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.23 / $279.38 / $572.07	Facility		$228.23	$279.38	$572.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.48 / $504.21 / $1,145.96	Professional		$313.48	$504.21	$1,145.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $526.92 / $800.15 / $16,102.64	Facility		$526.92	$800.15	$16,102.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $374.18 / $456.72 / $631.37	Professional		$374.18	$456.72	$631.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.50 / $456.72 / $708.61	Professional		$320.50	$456.72	$708.61