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 $290.27 / $331.92 / $364.26	Professional		$290.27	$331.92	$364.26
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 $309.62 / $499.04 / $783.16	Facility		$309.62	$499.04	$783.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $405.22 / $611.09 / $675.36	Facility		$405.22	$611.09	$675.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.35 / $382.47 / $780.20	Facility		$312.35	$382.47	$780.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.44 / $691.49 / $1,571.56	Professional		$429.44	$691.49	$1,571.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.75 / $1,041.31 / $1,317.30	Facility		$713.75	$1,041.31	$1,317.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $513.88 / $625.02 / $865.87	Professional		$513.88	$625.02	$865.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.56 / $625.02 / $969.73	Professional		$439.56	$625.02	$969.73