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 $158.27 / $246.49 / $548.57	Professional		$158.27	$246.49	$548.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.40 / $476.30 / $658.98	Professional		$356.40	$476.30	$658.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.82 / $455.28 / $512.29	Professional		$364.82	$455.28	$512.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $246.49 / $529.95	Facility		$195.32	$246.49	$529.95
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 / $246.49 / $529.95	Facility		$192.70	$246.49	$529.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $455.70 / $583.14	Professional		$234.38	$455.70	$583.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $486.56 / $622.05	Professional		$362.25	$486.56	$622.05
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 $282.68 / $401.66 / $633.29	Professional		$282.68	$401.66	$633.29