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 $177.22 / $251.24 / $251.24	Professional		$177.22	$251.24	$251.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.78 / $445.00 / $615.66	Professional		$361.78	$445.00	$615.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.07 / $415.68 / $468.88	Professional		$333.07	$415.68	$468.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $251.24 / $639.92	Facility		$137.38	$251.24	$639.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.99 / $157.06 / $171.24	Facility		$60.99	$157.06	$171.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.13 / $251.24 / $639.92	Facility		$66.13	$251.24	$639.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $357.26 / $544.79	Professional		$79.36	$357.26	$544.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.11 / $454.56 / $581.15	Professional		$340.11	$454.56	$581.15
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 $292.89 / $483.84 / $588.35	Professional		$292.89	$483.84	$588.35