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 $311.32 / $443.34 / $443.34	Professional		$311.32	$443.34	$443.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.30 / $784.20 / $1,084.97	Professional		$637.30	$784.20	$1,084.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.86 / $778.65 / $876.60	Professional		$623.86	$778.65	$876.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $443.34 / $1,060.74	Facility		$210.68	$443.34	$1,060.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $508.58 / $697.02	Facility		$233.07	$508.58	$697.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $443.34 / $1,086.30	Facility		$101.40	$443.34	$1,086.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $629.58 / $959.78	Professional		$121.68	$629.58	$959.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $597.80 / $850.86 / $1,035.96	Professional		$597.80	$850.86	$1,035.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.50 / $838.85 / $1,034.09	Professional		$489.50	$838.85	$1,034.09