Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $6,606.93 / $7,943.28	Facility		$141.25	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $363.08 / $741.31	Professional		$128.82	$363.08	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $446.68 / $794.33	Professional		$186.21	$446.68	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $4,677.35 / $7,943.28	Facility		$141.25	$4,677.35	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $512.86 / $4,677.35	Professional		$131.83	$512.86	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $141.25	Facility		$51.29	$93.33	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $1,659,586.91	Facility		$107.15	$141.25	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $691.83	Professional		$79.43	$79.43	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Facility		$870.96	$1,258.93	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,165.95	Facility		$389.05	$2,187.76	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $457.09	Professional		$56.23	$85.11	$457.09