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 $232.62 / $268.39 / $295.66	Professional		$232.62	$268.39	$295.66
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 $414.94 / $539.74 / $599.46	Professional		$414.94	$539.74	$599.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.31 / $310.44 / $635.66	Facility		$251.31	$310.44	$635.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.95 / $474.44 / $523.27	Facility		$313.95	$474.44	$523.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.56 / $295.66 / $635.66	Facility		$252.56	$295.66	$635.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.79 / $535.77 / $1,217.68	Professional		$353.79	$535.77	$1,217.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $701.98 / $856.97 / $1,020.66	Facility		$701.98	$856.97	$1,020.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $422.91 / $445.17 / $710.55	Professional		$422.91	$445.17	$710.55
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 $374.88 / $507.65 / $735.31	Professional		$374.88	$507.65	$735.31