Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.19 / $819.11 / $819.11	Professional		$446.19	$819.11	$819.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.12 / $992.99 / $1,424.33	Professional		$401.12	$992.99	$1,424.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.07 / $415.68 / $467.12	Professional		$333.07	$415.68	$467.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $819.11 / $1,761.09	Facility		$45.77	$819.11	$1,761.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $43.48 / $47.71	Facility		$25.78	$43.48	$47.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $819.11 / $1,761.09	Facility		$28.14	$819.11	$1,761.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $734.55 / $1,415.59	Professional		$33.77	$734.55	$1,415.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,743.25 / $10,952.22 / $13,806.81	Facility		$8,743.25	$10,952.22	$13,806.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $484.10 / $824.14 / $1,356.76	Professional		$484.10	$824.14	$1,356.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.95 / $1,234.63 / $1,659.84	Professional		$647.95	$1,234.63	$1,659.84