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 $75.37 / $272.17 / $1,527.07	Professional		$75.37	$272.17	$1,527.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $273.61 / $703.67	Professional		$140.58	$273.61	$703.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $222.95 / $580.97	Professional		$134.62	$222.95	$580.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $240.97 / $679.40	Facility		$112.08	$240.97	$679.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $341.58 / $746.92	Professional		$114.76	$341.58	$746.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $432.17 / $537.34	Facility		$116.79	$432.17	$537.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $407.68 / $642.60	Facility		$112.08	$407.68	$642.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $301.20 / $712.21	Professional		$149.12	$301.20	$712.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $244.27 / $678.41	Professional		$137.25	$244.27	$678.41
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.02 / $574.55 / $761.74	Professional		$409.02	$574.55	$761.74