Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.06 / $384.16 / $424.79	Professional		$231.06	$384.16	$424.79
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 $575.66 / $787.08 / $999.57	Professional		$575.66	$787.08	$999.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $392.18 / $424.79 / $913.30	Facility		$392.18	$424.79	$913.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.29 / $1,534.29 / $3,090.23	Professional		$1,534.29	$1,534.29	$3,090.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $952.92 / $1,776.16	Facility		$599.29	$952.92	$1,776.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $424.79 / $913.30	Facility		$387.23	$424.79	$913.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $505.10 / $806.74 / $844.06	Professional		$505.10	$806.74	$844.06
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 $603.77 / $918.65 / $1,188.36	Professional		$603.77	$918.65	$1,188.36
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 $567.53 / $806.15 / $1,155.13	Professional		$567.53	$806.15	$1,155.13