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 $189.93 / $300.66 / $331.02	Professional		$189.93	$300.66	$331.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,341.30	Facility		$1,487.79	$1,487.79	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.53 / $675.15 / $793.73	Professional		$515.53	$675.15	$793.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.98 / $331.02 / $638.08	Facility		$170.98	$331.02	$638.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $148.02 / $3,090.23	Professional		$148.02	$148.02	$3,090.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.79 / $947.15 / $1,770.14	Facility		$280.79	$947.15	$1,770.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $331.02 / $648.80	Facility		$162.16	$331.02	$648.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $333.39 / $581.42	Professional		$141.50	$333.39	$581.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,281.94 / $4,654.57 / $7,123.24	Facility		$2,281.94	$4,654.57	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $496.01 / $721.90 / $954.86	Professional		$496.01	$721.90	$954.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.19 / $622.64 / $948.99	Professional		$443.19	$622.64	$948.99