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 $216.40 / $281.52 / $422.61	Professional		$216.40	$281.52	$422.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.58 / $782.65 / $1,103.72	Professional		$487.58	$782.65	$1,103.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.62 / $672.88 / $856.25	Professional		$550.62	$672.88	$856.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $430.33 / $908.61	Facility		$203.72	$430.33	$908.61
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 $124.09 / $191.04 / $536.40	Facility		$124.09	$191.04	$536.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $430.33 / $908.61	Facility		$203.72	$430.33	$908.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.38 / $754.83 / $1,098.72	Professional		$323.38	$754.83	$1,098.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $607.16 / $801.82 / $1,056.21	Professional		$607.16	$801.82	$1,056.21
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 $402.71 / $572.80 / $909.46	Professional		$402.71	$572.80	$909.46