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 $172.73 / $272.81 / $1,431.77	Professional		$172.73	$272.81	$1,431.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.78 / $508.00 / $731.47	Professional		$361.78	$508.00	$731.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.96 / $505.44 / $569.07	Professional		$404.96	$505.44	$569.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $272.81 / $586.54	Facility		$195.32	$272.81	$586.54
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 $119.06 / $183.07 / $198.44	Facility		$119.06	$183.07	$198.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.70 / $272.81 / $586.54	Facility		$192.70	$272.81	$586.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $488.98 / $647.05	Professional		$234.38	$488.98	$647.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $539.89 / $690.24	Professional		$402.85	$539.89	$690.24
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 $285.92 / $448.68 / $656.92	Professional		$285.92	$448.68	$656.92