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 $85.25 / $142.44 / $156.88	Professional		$85.25	$142.44	$156.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,229.54 / $3,229.54 / $3,250.41	Facility		$3,229.54	$3,229.54	$3,250.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.87 / $301.83 / $373.76	Professional		$229.87	$301.83	$373.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $156.88 / $307.54	Facility		$142.44	$156.88	$307.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $171.87 / $5,307.04	Professional		$171.87	$171.87	$5,307.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.97 / $1,610.90 / $2,822.27	Facility		$129.97	$1,610.90	$2,822.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.27 / $156.88 / $337.31	Facility		$139.27	$156.88	$337.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.17 / $173.04 / $290.04	Professional		$164.17	$173.04	$290.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,580.28 / $8,714.52 / $14,336.76	Facility		$4,580.28	$8,714.52	$14,336.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.56 / $341.08 / $438.04	Professional		$222.56	$341.08	$438.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,517.00 / $7,385.00	Facility		$1,472.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $295.20 / $425.81	Professional		$210.12	$295.20	$425.81