Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $421.45 / $421.45	Professional		$169.00	$421.45	$421.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.56 / $693.78 / $991.43	Professional		$499.56	$693.78	$991.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.06 / $630.34 / $767.87	Professional		$505.06	$630.34	$767.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.13 / $421.45 / $906.12	Facility		$191.13	$421.45	$906.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $179.08 / $194.26	Facility		$113.10	$179.08	$194.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.50 / $421.45 / $906.12	Facility		$188.50	$421.45	$906.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.36 / $645.73 / $877.17	Professional		$229.36	$645.73	$877.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $513.54 / $731.89 / $889.94	Professional		$513.54	$731.89	$889.94
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 $425.39 / $664.97 / $933.78	Professional		$425.39	$664.97	$933.78