Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $155.19 / $750.00	Professional		$130.00	$155.19	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $320.19 / $434.65	Professional		$197.68	$320.19	$434.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.91 / $335.63 / $377.89	Professional		$268.91	$335.63	$377.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.93 / $278.38 / $355.30	Facility		$169.93	$278.38	$355.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $285.45 / $285.45 / $300.92	Professional		$285.45	$285.45	$300.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $136.43 / $267.56	Facility		$86.17	$136.43	$267.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.93 / $304.80 / $2,450.00	Facility		$169.93	$304.80	$2,450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.33 / $320.19 / $434.65	Professional		$172.33	$320.19	$434.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,790.12 / $2,277.84 / $3,009.46	Facility		$1,790.12	$2,277.84	$3,009.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.38 / $362.66 / $463.66	Professional		$269.38	$362.66	$463.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.44 / $295.39 / $466.00	Professional		$219.44	$295.39	$466.00